Post-vasectomy pain syndrome

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Post-vasectomy pain syndrome (PVPS) is a chronic and sometimes debilitating condition that may develop immediately or several years after vasectomy, a surgical procedure for male sterilization or permanent contraception.

Pronunciation

The term is pronounced as post-vas-ek-toh-mee pain sin-drohm.

Etymology

The term is derived from the words "post" (after), "vasectomy" (a surgical procedure for male sterilization), "pain" (an unpleasant sensory and emotional experience), and "syndrome" (a group of symptoms that consistently occur together).

Definition

Post-vasectomy pain syndrome is a chronic pain condition that can occur after a vasectomy. This pain can be constant or intermittent, and may be mild or severe. It can affect the scrotum, the testicles, or the lower abdomen. The exact cause of PVPS is not known, but it may be due to nerve damage during surgery, inflammation, or a backflow of sperm into the testicles.

Symptoms

Symptoms of post-vasectomy pain syndrome may include:

  • Chronic testicular pain
  • Pain during sexual intercourse
  • Pain during physical activities
  • Lower abdominal pain

Diagnosis

Diagnosis of post-vasectomy pain syndrome is typically based on the patient's symptoms and medical history. A physical examination may also be performed. Other potential causes of the pain, such as infection or testicular cancer, should be ruled out.

Treatment

Treatment for post-vasectomy pain syndrome may include pain medications, anti-inflammatory drugs, or surgery to reverse the vasectomy or to remove the affected testicle (orchidectomy). In some cases, a nerve block may be performed.

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