Vasectomy reversal and other strategies to mitigate postvasectomy pain syndrome
| Autor: | Jason R. Kovac, Larry I. Lipshultz, Ryan P. Smith |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty Urology post-vasectomy pain management 030232 urology & nephrology Antidepressive Agents Tricyclic lcsh:RC870-923 Testicular Diseases 03 medical and health sciences 0302 clinical medicine vasectomy reversal Invited Commentary Vasectomy medicine Humans Anesthetics Local Physical Therapy Modalities Epididymis Spermatic Cord Pain syndrome Pain Postoperative Invited Review business.industry General surgery Anti-Inflammatory Agents Non-Steroidal Vasovasostomy vaso-vasostomy Disease Management Vasectomy reversal epididymectomy Pelvic Floor General Medicine Syndrome lcsh:Diseases of the genitourinary system. Urology microdenervation Denervation post-vasectomy pain syndrome orchalgia testicular pain 030220 oncology & carcinogenesis Anticonvulsants Chronic Pain business Orchiectomy |
| Zdroj: | Asian Journal of Andrology Asian Journal of Andrology, Vol 18, Iss 3, Pp 338-338 (2016) |
| ISSN: | 1745-7262 |
| Popis: | Post-vasectomy pain syndrome remains one of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinician as there is no well-recognized diagnostic regimen or reliable effective treatment. Many of these patients will end up seeing physicians across many disciplines, further frustrating them. The etiology of post-vasectomy pain syndrome is not clearly delineated. Postulations include damage to the scrotal and spermatic cord nerve structures via inflammatory effects of the immune system, back pressure effects in the obstructed vas and epididymis, vascular stasis, nerve impingement, or perineural fibrosis. Post-vasectomy pain syndrome is defined as at least 3 months of chronic or intermittent scrotal content pain. This article reviews the current understanding of post-vasectomy pain syndrome, theories behind its pathophysiology, evaluation pathways, and treatment options. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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