You have accessJournal of UrologyInfertility: Therapy1 Apr 20112283 A COMPARISON OF EPIDIDYMECTOMY AND VASOVASOSTOMY FOR THE SURGICAL TREATMENT OF POSTVASECTOMY PAIN SYNDROME Hee Young Park, Dong Suk Min, Seung Wook Lee, Seung Hwan Lee, Won Sik Ham, Kang Su Cho, Tae Hyo Kim, Jung Yoon Kang, Tag Keun Yoo, and Hong Yong Choi Hee Young ParkHee Young Park Seoul, Korea, Republic of More articles by this author , Dong Suk MinDong Suk Min Seoul, Korea, Republic of More articles by this author , Seung Wook LeeSeung Wook Lee Seoul, Korea, Republic of More articles by this author , Seung Hwan LeeSeung Hwan Lee Seoul, Korea, Republic of More articles by this author , Won Sik HamWon Sik Ham Seoul, Korea, Republic of More articles by this author , Kang Su ChoKang Su Cho Seoul, Korea, Republic of More articles by this author , Tae Hyo KimTae Hyo Kim Busan, Korea, Republic of More articles by this author , Jung Yoon KangJung Yoon Kang Seoul, Korea, Republic of More articles by this author , Tag Keun YooTag Keun Yoo Seoul, Korea, Republic of More articles by this author , and Hong Yong ChoiHong Yong Choi Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2527AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare the outcome of epididymectomy and vasovasostomy in patients with postvasectomy pain syndrome (PVPS) who required surgical treatment. METHODS A total of 50 patients with PVPS who underwent epididymectomy or vasovasostomy between January, 2000 and January, 2010 were included retrospectively. Of these, 36 (72.0%) patients completed the study questionnaire. These 36 patients either completed the questionnaire during attendance at the outpatient clinic or during a telephone interview. 20 patients (22 cases) underwent epididymectomy and sixteen patients (17 cases) underwent vasovasostomy. Analyses were performed for: (i) preoperative clinical findings, (ii) preoperative and postoperative visual analogue pain scale (VAPS) scores, and (iii) patient satisfaction with surgical treatment. The latter analysis was based on the following 4 outcome categories: cure, marked improvement, no change, or recurrence (Figure 1). RESULTS The mean age was 48.28±11.27 years and the mean period of follow-up was 3.58 years (0.15–10.03). The mean VAPS score was 6.78±0.93 preoperatively and 1.13±0.72 postoperatively (p<0.001). The difference in the mean preoperative and postoperative VAPS scores was 6.00±1.34 (3–8) in the epididymectomy group and 5.50±1.03 (4–8) in the vasovasostomy group. However, this difference was not statistically significant (p=0.227) (Table 1). No significant difference in satisfaction with surgical outcome was observed between the epididymectomy and the vasovasostomy groups (p=0.124). CONCLUSIONS In PVPS patients requiring surgical treatment, no significant difference was observed between the epididymectomy and vasovasostomy groups in either the reduction of pain or the degree of patient satisfaction with surgical outcome. Selection of the optimal surgical procedure may be dependent on specific patient characteristics. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e915-e916 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hee Young Park Seoul, Korea, Republic of More articles by this author Dong Suk Min Seoul, Korea, Republic of More articles by this author Seung Wook Lee Seoul, Korea, Republic of More articles by this author Seung Hwan Lee Seoul, Korea, Republic of More articles by this author Won Sik Ham Seoul, Korea, Republic of More articles by this author Kang Su Cho Seoul, Korea, Republic of More articles by this author Tae Hyo Kim Busan, Korea, Republic of More articles by this author Jung Yoon Kang Seoul, Korea, Republic of More articles by this author Tag Keun Yoo Seoul, Korea, Republic of More articles by this author Hong Yong Choi Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...