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Post-vasectomy pain syndrome

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Post-Vasectomy Pain SyndromeEdit

Post-Vasectomy Pain Syndrome (PVPS), genital pain of varying intensity that may last for a lifetime following vasectomy, is estimated to appear in between 5% and 35% of vasectomized men, depending on the severity of pain that qualifies for the particular study[1][2][3][4] The pain can be orchialgia, pain with intercourse, ejaculation, or physical exertion, or tender epididymides.[5] In one study, vasectomy reversal was found to be effective for 9 out of 13 patients in reducing the symptoms of chronic post-vasectomy pain. Treatment options for the 4 patients whose pain did not respond to vasectomy reversal were limited. The limited size of the study makes it difficult to draw solid conclusions.[6] In severe cases castration has been resorted to.[7]


  1. Ahmed I, Rasheed S, White C, Shaikh N. "The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management." British Journal of Urology. 1997; 79:269-270. PMID 9052481
  2. Choe J, Kirkemo A. "Questionnaire-based outcomes study of nononcological post-vasectomy complications." The Journal of Urology. 1996; 155:1284-1286. PMID 8632554
  3. McMahon A, Buckley J, Taylor A, Lloyd S, Deane R, Kirk D. "Chronic testicular pain following vasectomy." British Journal of Urology. 1992;69:188-191. PMID 1537032
  4. Leslie TA, Illing RO, Cranston DW, Guillebaud J. "The incidence of chronic scrotal pain after vasectomy: a prospective audit." BJU International. 2007. PMID 17850378
  5. Cite error: Invalid <ref> tag; no text was provided for refs named Christiansen_C.2C_Sandlow_J_2003
  6. JK Nangia, JL Myles and AJ JR Thomas (December 2000). Vasectomy reversal for the post-vasectomy pain syndrome: a clinical and histological evaluation. Journal of Urology 164 (6): 1939–1942.
  7. Granitsiotis P, Kirk D. "Chronic testicular pain: an overview." European Urology. 2005;47(5)720. PMID 15041105
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