Post Vasectomy Pain Syndrome

  • Jeannette M. Potts
Part of the Current Clinical Urology book series (CCU)


Although the prevalence of post vasectomy pain syndrome is unknown, it is certain that the incidence of this uncommon complication will increase because of the continued popularity of vasectomy as a highly effective and economic means of contraception. This chapter covers the evaluation of and treatment options available for the sequelae of symptoms associated with post vasectomy pain syndrome and its complications. Therapeutic options are based on expert opinion and the compassionate creativity of specialists. Evidence-based treatments are not available, in part, because the exact cause of this debilitating disorder is, as yet, unconfirmed.

Key Words

Post vasectomy pain syndrome epididymitis sperm granuloma genital pain orchalgia 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Belker, Arnold M. Long-term results of vasovasostomy. In Goldstein, M. (Ed), Surgery of Male Infertility, Chapter 10, pp. 104–109. Philadelphia, W.B. Saunders Co., 1995.Google Scholar
  2. 2.
    Chen, R.C.T. and Nickel, J.C. Acupuncture for chronic prostatitis/chronic pelvic pain syndrome. Current Urology Reports 5: 305–308, 2004.Google Scholar
  3. 3.
    Chen, T.F. and Ball, R.Y. Epididymectomy for post-vasectomy pain: Histological review. British Journal of Urology 68: 407–413, 1991.PubMedGoogle Scholar
  4. 4.
    Choe, J.M. and Kirkemo, A.K. Questionnaire-based outcomes study of nononcological post-vasectomy complications. Journal of Urology, 155: 1284–1286, 1996.PubMedCrossRefGoogle Scholar
  5. 5.
    Esho, J.O., Cass, A.S., and Ireland, G.W. Morbidity associated with vasectomy. Journal of Urology, 110: 413–415, 1973.PubMedGoogle Scholar
  6. 6.
    McMahon, A.J., Buckley, J., Taylor, A., Lloyd, S.N., Deane, R.F., and Kirk, D. Chronic testicular pain following vasectomy. British Journal of Urology 69: 188–191, 1992.PubMedCrossRefGoogle Scholar
  7. 7.
    Myers, S.A., Mershon, C.E., and Fuchs, E.F. Vasectomy reversal for treatment of the post-vasectomy pain syndrome. Journal of Urology, 157: 518–520, 1997.PubMedCrossRefGoogle Scholar
  8. 8.
    Nangia, A.K., Myles, J.L., and Thomas, Jr., A.J. Vasectomy reversal for the post-vasectomy pain syndrome: a clinical and histological evaluation. Journal of Urology, 164: 1939–1942, 2000.PubMedCrossRefGoogle Scholar
  9. 9.
    Potts, J.M. and O’Dougherty, E. Pelvic floor physical therapy for patients with prostatitis. Current Urology Report 1:155–158, 2000.CrossRefGoogle Scholar
  10. 10.
    Schmidt, S.S. Spermatic granuloma: An often painful lesion. Fertility and Sterility 31(2):178–182, 1979.PubMedGoogle Scholar
  11. 11.
    Selikowitz, S.M. and Schned, A.R. A late post-vasectomy syndrome. Journal of Urology, 134: 494–497, 1985.PubMedGoogle Scholar
  12. 12.
    Shapiro, E.I. and Silber, S.J. Open-ended vasectomy, sperm granuloma, and postvasectomy orchialgia. Fertility and Sterility 32(5): 546–550, 1979.PubMedGoogle Scholar
  13. 13.
    Shihua Li, P., Li, S., Schlegel, P.N., and Goldstein, M. External spermatic sheath injection for vassal nerve block. Urology 39(2): 173–176, 1992.CrossRefGoogle Scholar
  14. 14.
    Taxy, J.B., Marshall, F.F., and Erlichman, R.J. Vasectomy subclinical pathologic changes. American Journal of Surgical pathology 5(8): 767–772, 1981.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press 2008

Authors and Affiliations

  • Jeannette M. Potts

There are no affiliations available

Personalised recommendations