604 VASECTOMY REVERSAL PROVIDES LONG TERM PAIN RELIEF FOR MEN WITH POST-VASECTOMY PAIN SYNDROME
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Résumé
You have accessJournal of UrologyPenis/Testis/Urethra: Benign & Malignant Disease1 Apr 2011604 VASECTOMY REVERSAL PROVIDES LONG TERM PAIN RELIEF FOR MEN WITH POST-VASECTOMY PAIN SYNDROME David Horovitz, Vehniah Tjong, Kirk Lo, Ethan Grober, and Keith Jarvi David HorovitzDavid Horovitz Toronto, Canada More articles by this author , Vehniah TjongVehniah Tjong Toronto, Canada More articles by this author , Kirk LoKirk Lo Toronto, Canada More articles by this author , Ethan GroberEthan Grober Toronto, Canada More articles by this author , and Keith JarviKeith Jarvi Toronto, Canada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1436AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Post-vasectomy pain syndome (PVPS) is a very rare but serious complication of vasectomy that can be extremely debilitating for men who experience it. For these men, vasovasostomy (VV) has long been viewed as the first-line surgical option after conservative management has failed. However, there is a paucity of data in the literature defining its therapeutic efficacy. Herein, we aim to better define its role with regards to improvement in pre-operative pain scores and quality of life. METHODS Three Urologists in Toronto, Ontario performed 149 publically funded VV's for Ontario residents between Jan. 2000 and Sept. 2010. The electronic health records were scanned and 23/149 (15%) of the procedures were performed for PVPS. Thirteen of these men (who underwent 14 VV's) completed our telephone-conducted questionnaire (response rate: 56%). Patient demographics, pre- and post-operative pain scores and quality of life were assessed retrospectively. RESULTS Orchalgia occurred 19±42.5 months post-vasectomy and these men (age 43.8±5.2) suffered in pain for 50.3±34.9 months prior to VV. Improvement of pain occurred in 93% (13/14) of cases and 50% were rendered pain free with an average improvement in pain intensity scores of 65% (p<0.005). Fifteen percent (2/13) had a recurrence of pain to baseline but overall 79% (11/14) had a durable positive response. More severe pain had lower overall improvement scores (r=0.42) and longer duration of pain prior to reversal had higher overall improvements (r=0.32). Quality of life was significantly improved (p<0.005) and 93% (13/14) said they would undergo the same operation again. CONCLUSIONS VV is an effective treatment modality for PVPS, which can achieve robust and durable long-term improvements in pain intensity and quality of life. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e243 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Metrics Author Information David Horovitz Toronto, Canada More articles by this author Vehniah Tjong Toronto, Canada More articles by this author Kirk Lo Toronto, Canada More articles by this author Ethan Grober Toronto, Canada More articles by this author Keith Jarvi Toronto, Canada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,018 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle