Incidence of Post-Vasectomy Pain: Systematic Review and Meta-Analysis
| Autor: | Frank Doyle, Austin B. Auyeung, Anas Almejally, Fahad Alsaggar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty vasectomy Health Toxicology and Mutagenesis 030232 urology & nephrology lcsh:Medicine Review Post-vasectomy pain syndrome 03 medical and health sciences 0302 clinical medicine systematic review Post-vasectomy pain Internal medicine Medicine Humans pain 030212 general & internal medicine Retrospective Studies Pain syndrome Pain Postoperative business.industry Incidence (epidemiology) Incidence lcsh:R non-scalpel Public Health Environmental and Occupational Health Vasectomy scalpel medicine.disease post-vasectomy pain syndrome meta-analysis surgical procedures operative Sample size determination Meta-analysis business |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 17, Iss 5, p 1788 (2020) |
| ISSN: | 1660-4601 |
| Popis: | This is the first systematic review and meta-analysis to ascertain incidences of post-vasectomy pain following traditional scalpel, or non-scalpel vasectomy. Electronic databases PubMed, Embase and PsycINFO were searched up to 1 July 2019 for peer-reviewed articles recording post-vasectomy pain. We identified 733 publications, screened 559 after removal of duplicates and excluded 533. Of the remaining 26 full-text articles, 8 were excluded with reasons, leaving 18 for detailed analyses. Meta-analysis was performed on 25 separate datasets (11 scalpel, 11 non-scalpel, 3 other/combined). Study follow-up ranged from 2 weeks to 37 years and sample sizes from 12 to 723 patients. The overall incidence of post-vasectomy pain was 15% (95% CI 9% to 25%). The incidences of post-vasectomy pain following scalpel and non-scalpel techniques were 24% (95% CI 15% to 36%) and 7% (95% CI 4% to 13%), respectively. Post-vasectomy pain syndrome occurred in 5% (95% CI 3% to 8%) of subjects, with similar estimates for both techniques. We conclude that the overall incidence of post-vasectomy pain is greater than previously reported, with three-fold higher rates of pain following traditional scalpel, compared to non-scalpel vasectomy, whereas the incidence of post-vasectomy pain syndrome is similar. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|