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Complications of Vasectomy Reversals

  • Sheldon H. F. Marks
Chapter

Abstract

Complications following a vasectomy reversal are similar to any potential risks and complications after a vasectomy or any other scrotal/testicular surgery. In skilled and experienced hands, these complications are rare but can still happen. A review of these and other reversal specific and general potential risks and complications should be reviewed at the time of your preoperative informed consent. Risks for bleeding, infection, reactive hydrocele, atrophy, and pain are more likely after previous successful or unsuccessful reconstruction attempts, other scrotal/testicular/inguinal surgeries, or when more aggressive surgery is required to isolate the vas, epididymis, or testicle from extensive scar or to free up and mobilize the abdominal vas or the epididymis.

Keywords

Post-reversal complications Bleeding – immediate or delayed Scrotal drains Infection Reactive hydrocele Testicular atrophy Testicular pain 

References

  1. 1.
    Johnson D, Sandlow JI. Vasectomy: tips and tricks. Transl Androl Urol. 2017;6(4):704–9.CrossRefGoogle Scholar
  2. 2.
    Wolf JS Jr, Bennett CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, Schaeffer AJ, Urologic Surgery Antimicrobial Prophylaxis Best Practice Policy Panel. Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol. 2008;179(4):1379–90.CrossRefGoogle Scholar
  3. 3.
    Leslie TA, Illing RO, Cranston DW, et al. The incidence of chronic scrotal pain after vasectomy: a prospective audit. BJU Int. 2007;100:1330–3.CrossRefGoogle Scholar
  4. 4.
    Tandon S, Sabanegh E Jr. Chronic pain after vasectomy: a diagnostic and treatment dilemma. BJU Int. 2008;102:166–9.CrossRefGoogle Scholar
  5. 5.
    Myers SA, Mershon CE, Fuchs EF. Vasectomy reversal for treatment of the post-vasectomy pain syndrome. J Urol. 1997;157:518–20.CrossRefGoogle Scholar
  6. 6.
    Lee JY, Chang JS, Lee SH, Ham WS, Cho HJ, Yoo TK, Lee KS, Kim TH, Moon HS, Choi HY, Lee SW. Efficacy of vasectomy reversal according to patency for the surgical treatment of postvasectomy pain syndrome. Int J Impot Res. 2012;24(5):202–5.CrossRefGoogle Scholar
  7. 7.
    Sinha V, Ramasamy R. Post-vasectomy pain syndrome: diagnosis, management and treatment options. Transl Androl Urol. 2017;6(Suppl 1):S44–7.CrossRefGoogle Scholar
  8. 8.
    Smith-Harrison LI, Smith RP. Vasectomy reversal for post-vasectomy pain syndrome. Transl Androl Urol. 2017;6(Suppl 1):S10–3.CrossRefGoogle Scholar
  9. 9.
    Schmidt SS. Spermatic granuloma: an often painful lesion. Fertil Steril. 1979;31(2):178–81.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sheldon H. F. Marks
    • 1
  1. 1.University of Arizona College of MedicineInternational Center Vasectomy ReversalTucsonUSA

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