Presentation
To present a case of prolactinoma presenting as a failed vasectomy reversal. Case report. University-affiliated teaching hospital. [ncbi.nlm.nih.gov]
Entire Body System
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Noncompliance
Google Scholar 4 : Patient noncompliance after vasectomy. Fertil Steril 1997 ; 68 : 552. Google Scholar 5 : The high rate of noncompliance for post-vasectomy semen examination: medical and legal considerations. J Urol 1990 ; 144 : 284. [doi.org]
Belker AM, Sexter MS, Sweitzer SJ et al: The high rate of noncompliance for post-vasectomy semen examination: medical and legal considerations. J Urol 1990; 144: 284. [auanet.org]
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Veterinarian
Patient is able to perform his own semen analysis (eg, he is a physician, dentist, or veterinarian). Our findings suggest that patient age is also an important determinant. [doi.org]
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Chronic Infection
No statistically significant differences were observed for difficulty entering the scrotum, closing the incision, occluding the vas, difficulties due to fatty, adipose or fibrous tissue, chronic infection, pain or patient restlessness (only P value was [doi.org]
Gastrointestinal
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Rectal Pain
Ursula Wesselmann, Chronic Nonmalignant Visceral Pain Syndromes of the Abdomen, Pelvis, and Bladder and Chronic Urogenital and Rectal Pain, Pain, 10.1201/9780203911259.ch20, (2009). Cory G. Christiansen and Jay I. [doi.org]
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Regurgitation
He was successfully treated with a 7-week course of intravenous antibiotics and subsequently underwent mitral valve reconstruction for severe mitral regurgitation. [ncbi.nlm.nih.gov]
Neurologic
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Dysarthria
We report the case of a 36-year-old man who presented with S. lugdunensis endocarditis, dysarthria, and hemiparesis 5 weeks after a vasectomy. To our knowledge, this is the first report of embolic stroke caused by S. lugdunensis endocarditis. [ncbi.nlm.nih.gov]
Urogenital
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Chronic Pelvic Pain
Costabile, Orchialgia and the chronic pelvic pain syndrome, World Journal of Urology, 31, 4, (773), (2013). David Horovitz, Vehniah Tjong, Trustin Domes, Kirk Lo, Ethan D. [doi.org]
pelvic pain in some women Risks As associated with reaction to local anesthesia As associated with major surgery and use of general anesthesia Complications In rare cases, infection or hematoma As with any surgery, possible bleeding, infection, and even [emedicinehealth.com]
Workup
Parekattil, Chronic Orchialgia: Workup and Management, The SAGES Manual of Groin Pain, 10.1007/978-3-319-21587-7_26, (343-361), (2016). Laurence A. Levine and Michael P. [doi.org]
Other Test Results
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Sperm Count Decreased
Sperm counts were maintained with increasing time after vasectomy, but motile sperm counts decreased significantly (p 2013 The Authors Andrology published by John Wiley & Sons Ltd on behalf of American Society of Andrology. [ncbi.nlm.nih.gov]
Treatment
This can be a frustrating process for both the patient and clinician as there is no well-recognized diagnostic regimen or reliable effective treatment. [ncbi.nlm.nih.gov]
In this study we better define the role and effect of vasectomy reversal in the treatment of men with the post-vasectomy pain syndrome. [doi.org]
Prognosis
Google Scholar 13 : Oligozoospermia: recent prognosis and the outcome of 73 pregnancies in oligozoospermic couples. Andrologia 2006 ; 38 : 87. Google Scholar 14 : Contraceptive efficacy of a depot progestin and androgen combination in men. [doi.org]
Etiology
The etiology of this rare complication is discussed and the literature is reviewed. [ncbi.nlm.nih.gov]
Some postulated etiologies include epididymal congestion, tender sperm granuloma and/or nerve entrapment at the vasectomy site. To our knowledge nerve proliferation has not been evaluated previously as a cause of pain. [doi.org]
Epidemiology
The contradictions which arise between the clinical and large-scale epidemiological studies may be the result of methodological or experimental conditions. [ncbi.nlm.nih.gov]
The contradictions which arise between the clinical and large‐scale epidemiological studies may be the result of methodological or experimental conditions. [doi.org]
The results support the hypothesis that vasectomy is associated with an increased risk of advanced or lethal prostate cancer,” said co-author Lorelei Mucci, associate professor of epidemiology at HSPH. [news.harvard.edu]
Pathophysiology
This article reviews the current understanding of post-vasectomy pain syndrome, theories behind its pathophysiology, evaluation pathways, and treatment options. [ncbi.nlm.nih.gov]
Prevention
During VASECTOMY, the vas is tied off in the scrotum in order to prevent sperms passing that point. [web.archive.org]
You must continue to use birth control to prevent pregnancy until your semen sample is totally free of sperm. Most men are satisfied with vasectomy. Most couples enjoy not having to use birth control. [nlm.nih.gov]
The presence of a sperm granuloma at the vasectomy site prevents epididymal pressure build-up, perforation, and the formation of an epididymal sperm granuloma. [ncbi.nlm.nih.gov]
It prevents pregnancy round the clock for the rest of your life. So once your doctor says there’s no longer sperm in your semen, that’s pretty much it — you don’t have to do anything else to prevent pregnancy. [plannedparenthood.org]