Sweeney P, Tan J, Butler M R, McDermott T E, Grainger R, Thornhill J A
Department of Urology, Meath Hospital, Dublin, Ireland.
Br J Urol. 1998 May;81(5):753-5. doi: 10.1046/j.1464-410x.1998.00636.x.
To assess the outcome of epididymectomy as a method of treating epididymal pathology.
Forty-one patients who underwent epididymectomy between 1990 and 1995 were analysed retrospectively; their clinical records were reviewed and their satisfaction with the outcome and relief of symptoms assessed using a questionnaire and/or telephone interview.
Twenty-nine patients with pain were subdivided into three categories depending on the indication for epididymectomy, i.e. post-vasectomy epididymal engorgement (eight patients), complex cystic disease (11) or 'chronic epididymitis' (10). The outcome was satisfactory in 27 of the 29 patients. The best results were obtained in the group who underwent epididymectomy after vasectomy, where seven of eight improved after the procedure. Those with chronic epididymitis had the least favourable outcome, with only seven reporting any improvement in symptoms.
Epididymectomy has a valuable role in the management of epididymal pathology in appropriately selected patients.
评估附睾切除术作为治疗附睾疾病方法的疗效。
对1990年至1995年间接受附睾切除术的41例患者进行回顾性分析；查阅他们的临床记录，并通过问卷调查和/或电话访谈评估他们对治疗结果的满意度以及症状缓解情况。
29例疼痛患者根据附睾切除术的指征分为三类，即输精管结扎术后附睾充血（8例）、复杂性囊性疾病（11例）或“慢性附睾炎”（10例）。29例患者中有27例结果令人满意。输精管结扎术后接受附睾切除术的组效果最佳，8例中有7例术后病情改善。慢性附睾炎患者的效果最差，只有7例报告症状有任何改善。
附睾切除术在适当选择的患者的附睾疾病管理中具有重要作用。
