Vasectomy reversal and other strategies to mitigate postvasectomy pain syndrome
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摘要:
The 2012 American Urological Association (AUA) vasectomy guidelines advise that of those men who undergo vasectomy,1%-2% will develop chronic scrotal pain that negatively impacts their quality of life.1 These low numbers are contrasted with a study by McMahon et al.2 that characterized the incidence of chronic testicular pain postvasectomy as being about 33%.Of these cases,15% were described as troublesome while 5% sought medical attention and 1.7% underwent attempts at further corrective surgical therapy.Given the large number of vasectomies performed in North America every year,the number of patients potentially affected by postvasectomy pain could be staggering.