Vasectomy Reversal for Postvasectomy Pain Syndrome: A Study and Literature Review

A. Scott Polackwich, Nicholas N. Tadros, Kevin A. Ostrowski, Joe Kent, Michael Conlin, Jason Hedges, Eugene Fuchs

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective To review our institution's experience and success with vasectomy reversal to treat postvasectomy pain syndrome (PVPS) over the last 20 years. Materials and Methods A single surgeon (E.F.F.) performed all the vasectomy reversals. We identified 123 procedures done for PVPS treatment and were able to contact 76 patients. We sent surveys or conducted phone interviews inquiring about satisfaction, levels of pain preoperatively and postoperatively, and the need for additional procedures for pain. Thirty-one patients completed phone or written surveys. In addition, we compared the location of vasectomy among patients presenting for pain to that of fertile patients. Results Thirty-one men had vasectomy reversal for postvasectomy pain, with median age of 38 years (range, 31-55 years), of which 26 underwent vasovasostomy (VV). Seven patients required epididymovasostomy (EV) on at least 1 side based on intraoperative findings. Eighty-two percent of patients reported improvement in their pain at 3.2 months (±3.4 months) after vasectomy reversal. Thirty-four percent patients had complete resolution of all pain. Mean pain score before procedure was 6.4 (±2.4), decreasing to a median of 2.7 (±2.7) afterward. There was a 59% improvement in pain scores (P

Original languageEnglish (US)
Pages (from-to)269-272
Number of pages4
JournalUrology
Volume86
Issue number2
DOIs
StatePublished - Aug 1 2015

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Vasovasostomy
Pain
Vasectomy

ASJC Scopus subject areas

  • Urology
  • Medicine(all)

Cite this

Vasectomy Reversal for Postvasectomy Pain Syndrome : A Study and Literature Review. / Polackwich, A. Scott; Tadros, Nicholas N.; Ostrowski, Kevin A.; Kent, Joe; Conlin, Michael; Hedges, Jason; Fuchs, Eugene.

In: Urology, Vol. 86, No. 2, 01.08.2015, p. 269-272.

Research output: Contribution to journalArticle

Polackwich, A. Scott ; Tadros, Nicholas N. ; Ostrowski, Kevin A. ; Kent, Joe ; Conlin, Michael ; Hedges, Jason ; Fuchs, Eugene. / Vasectomy Reversal for Postvasectomy Pain Syndrome : A Study and Literature Review. In: Urology. 2015 ; Vol. 86, No. 2. pp. 269-272.
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