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Another research study - OBJECTIVE: To assess the extent of scrotal pain in men before and after vasectomy, to produce accurate data for the benefit of men considering this procedure, and hence improved informed consent about the outcomes, as chronic scrotal pain after vasectomy is a poorly quantified clinical problem. PATIENTS AND METHODS: Between November 2004 and January 2006 nine surgeons carried out vasectomies in 625 men (mean age 39.9 years, sd 5.6) under local anaesthesia. A questionnaire was devised to establish the presence of any scrotal or testicular pain, and to characterize this discomfort; 6 months after the procedure a modified version of the same questionnaire was administered. RESULTS: In all, 593 (94.7%) men returned the preoperative questionnaires and were entered into the study; 488 (82.2%) of these completed the follow-up questionnaire, giving a mean (sd) follow-up of 6.8 (1.6) months. In all, 65 men reported new-onset scrotal pain at 7 months (14.7%). The mean visual analogue score for this pain was 3.4/10. Four men (0.9%) in the responding group described pain after vasectomy as 'quite severe and noticeably affecting their quality of life'. CONCLUSION: At 7 months after vasectomy about 15% of previously asymptomatic men have some degree of scrotal discomfort. These early data indicate that chronic scrotal pain after vasectomy is a genuine entity, but a longer-term follow-up in this group will be important to allow further evaluation of how this pain develops with time. BJU Int. 2007 Dec;100(6):1330-3. Epub 2007 Sep 10.

 "Epididymectomy was performed on 10 men with intractable post-vasectomy pain... The vasectomy patients had pain of mean 6 years duration, 6 months-20 years after surgery. In 9 the pain was a constant, dull ache. 5 had unilateral, and 5 bilateral epididymectomy. Only 5 were relieved of pain: 1 subsequently had orchidectomy with symptomatic improvement. The other 4 were offered orchidectomy. There was no obvious association of clinical findings with results... The most common pathological findings in the vasectomy patients were obstruction and dilatation of the efferent and epididymal ducts with interstitial fibrosis, and perineural inflammation and fibrosis around nerves, particularly in the tail of epididymis... Br J Urol. 1991 Oct;68(4):407-13.

 

If you have post-vasectomy pain symptoms and need help or answers about treatment options, you can email me directly at: dr.ellis@vasectomypain.org. Please read the site info and click on the links prior to email questions as most questions can be answered this way. Click the link below for our Yahoo! Groups vasectomy pain support group:

The Vasectomy Pain Support Group
 

 

Post-vasectomy Pain Syndrome is a  "Black Swan" -  an unpredictable and improbable event with significant impact.  Arm yourself with knowledge and choose wisely...

The men with the worst outcomes almost always say they did not know of the risks of vasectomy. 

(The "Black Swan" concept is not mine. It comes from a book of the same name by Nassim Nicholas Taleb.)

 

 

Vasectomy risks, post vasectomy problems, vasectomy pain, post vasectomy side effects

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