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
- 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]
- Chronic Infection
While adverse events following vasectomy are relatively uncommon ( PIP 1992 ), men may experience bleeding, bruising, infection, acute and chronic pain after the procedure ( RCOG 2004 ). [doi.org]
- 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]
Gastrointestinal
- 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]
- 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]
Urogenital
- Chronic Pelvic Pain Syndrome
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]
Neurologic
- 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]
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
- 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 post-vasectomy pain syndrome is not clearly delineated. [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. [doi.org]
Abstract Background: Vasectomy has been implicated as a risk factor for prostate cancer in multiple epidemiologic studies over the past 25 years. Whether this relationship is causal remains unclear. [ncbi.nlm.nih.gov]
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
Vasectomy prevents pregnancy nearly 100 percent of the time. It’s the most effective birth control method for men. However, vasectomy isn’t immediately effective. [healthline.com]
During VASECTOMY, the vas is tied off in the scrotum in order to prevent sperms passing that point. [web.archive.org]
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]
Kehrer, a German surgeon who urged the use of this operation not merely to prevent future Caesarean sections, but to prevent future child-birth when such a child-birth would be undesirable. [eugenicsarchive.org]