Myers S A, Mershon C E, Fuchs E F
Oregon Health Sciences University, Kaiser Permanente, Portland, USA.
J Urol. 1997 Feb;157(2):518-20.
The post-vasectomy pain syndrome is a rare but troublesome complication of vasectomy. We report our experience with 32 patients who underwent vasectomy reversal for relief of the post-vasectomy pain syndrome.
The records of 32 patients undergoing vasovasostomy or epididymovasostomy for the post-vasectomy pain syndrome were evaluated for characteristics of symptoms, previous therapy, interval from vasectomy, success of surgery and duration of relief.
Of 32 men who underwent vasectomy reversal for the post-vasectomy pain syndrome between 1980 and 1994, 24 had relief of symptoms after the initial procedure. Of 8 men with recurrent pain 6 underwent a second reversal procedure, and 3 of them subsequently had relief of symptoms. Overall, 27 of 32 men had resolution of pain.
In our experience vasectomy reversal has a high rate of success for relief of the post-vasectomy pain syndrome. It does not preclude other forms of surgical therapy and it should be considered in the treatment of the post-vasectomy pain syndrome.
输精管切除术后疼痛综合征是输精管切除术一种罕见但棘手的并发症。我们报告了32例因输精管切除术后疼痛综合征而行输精管复通术患者的经验。
对32例因输精管切除术后疼痛综合征而行输精管吻合术或附睾输精管吻合术患者的记录进行评估，分析症状特点、既往治疗情况、输精管切除术后间隔时间、手术成功率及疼痛缓解持续时间。
1980年至1994年间，32例因输精管切除术后疼痛综合征而行输精管复通术的男性中，24例在初次手术后症状缓解。8例复发疼痛的男性中，6例接受了第二次复通手术，其中3例随后症状缓解。总体而言，32例男性中有27例疼痛消失。
根据我们的经验，输精管复通术缓解输精管切除术后疼痛综合征的成功率很高。它并不排除其他形式的手术治疗，在输精管切除术后疼痛综合征的治疗中应予以考虑。
