803 PATHOLOGICAL ANALYSIS OF IMPROVEMENT IN PAIN AFTER EPIDIDYMECTOMY FOR EPIDIDYMAL PAIN (2010)

You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Prostate & Genitalia1 Apr 2010803 PATHOLOGICAL ANALYSIS OF IMPROVEMENT IN PAIN AFTER EPIDIDYMECTOMY FOR EPIDIDYMAL PAIN Joo Yong Lee, Seung Wook Lee, Tchun Yong Lee, Hae Young Park, Hong Yong Choi, Tag Keun Yoo, Hong Sang Moon, Sung Yul Park, Seung Hwan Lee, Cheol Young Oh, and Jin Sung Park Joo Yong LeeJoo Yong Lee Seoul, Republic of Korea More articles by this author , Seung Wook LeeSeung Wook Lee Seoul, Republic of Korea More articles by this author , Tchun Yong LeeTchun Yong Lee Seoul, Republic of Korea More articles by this author , Hae Young ParkHae Young Park Seoul, Republic of Korea More articles by this author , Hong Yong ChoiHong Yong Choi Seoul, Republic of Korea More articles by this author , Tag Keun YooTag Keun Yoo Seoul, Republic of Korea More articles by this author , Hong Sang MoonHong Sang Moon Seoul, Republic of Korea More articles by this author , Sung Yul ParkSung Yul Park Seoul, Republic of Korea More articles by this author , Seung Hwan LeeSeung Hwan Lee Seoul, Republic of Korea More articles by this author , Cheol Young OhCheol Young Oh Chuncheon, Republic of Korea More articles by this author , and Jin Sung ParkJin Sung Park Seoul, Republic of Korea More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1479AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Epididymal pain can be produced by various causes which include postoperative obstruction such as vasectomy, epididymal cyst, epididymitis and spermatocele. This study was conducted to evaluate the improvement in pain after epididymectomy in patients with epididymal pain in terms of pathological findings. METHODS We recruited patients who had persistent epididymal pain despite conservative treatment of ≥6 weeks between January 2000 and June 2009. Among the patients, 72 who underwent epididymectomy because ultrasonography showed abnormalities in the epididymis. They were analyzed in terms of physical examination results, ultrasonographic findings, visual analogue pain scale scores before and after surgery, surgical treatment outcome and pathological findings. RESULTS The mean age of the patients was 50.67±14.08 years. The mean follow-up period was 47.8 months (range, 0.6-123 months). Pathological results revealed epididymal cyst (n=18), chronic epididymitis (n=29), tuberculous epididymitis (n=14) and others (n=11). Other causes included non-specific pathological findings. The pre- and postoperative pain scale scores were 6.97±0.98 and 2.08±1.73, respectively (P<0.001). The changes in the pain scale scores after surgery according to pathological results were 1.56±1.46 for epididymal cyst, 2.41±1.52 for chronic epididymitis, 1.14±0.77 for tuberculous epididymitis and 3.27±1.61 for others (P=0.005). Patients with tuberculous epididymitis showed the best surgical treatment outcome: cure (n=8, 57.1%), improvement (n=5, 35.7%), no change (n=1, 7.1%), and recurrence (none) (Figure 1). CONCLUSIONS In patients with epididymal pain, epididymectomy may be effective in alleviating the pain. The improvement rates in pain symptom and the pain scale scores after surgery were lower in patients with non-specific pathological findings and chronic epididymitis than in those with turberculous epididymitis or epididymal cyst. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e313-e314 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joo Yong Lee Seoul, Republic of Korea More articles by this author Seung Wook Lee Seoul, Republic of Korea More articles by this author Tchun Yong Lee Seoul, Republic of Korea More articles by this author Hae Young Park Seoul, Republic of Korea More articles by this author Hong Yong Choi Seoul, Republic of Korea More articles by this author Tag Keun Yoo Seoul, Republic of Korea More articles by this author Hong Sang Moon Seoul, Republic of Korea More articles by this author Sung Yul Park Seoul, Republic of Korea More articles by this author Seung Hwan Lee Seoul, Republic of Korea More articles by this author Cheol Young Oh Chuncheon, Republic of Korea More articles by this author Jin Sung Park Seoul, Republic of Korea More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...