Monthly Archives: November 2012

Testosterone therapy

Managed to dig up a full text copy of the 2007 paper by E.J. Pienkos on testosterone therapy for PVPS patients.

Not much data to see, and like most papers – it’s pretty thin.

Still – it’s better than only getting the abstract from PubMed.

The use of testosterone in the treatment of chronic postvasectomy pain syndrome: case report and review of the literature.

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PVPS journal articles from the last 20 years

Spider Jerusalem's classic poseSo I promised articles from the last 20 years that indicate that the incidence of new onset, chronic pain after vasectomy is much more common than the CUA will acknowledge.
So here’s the journal articles.  I’ve included all the articles I’ve curated over the last year.
To start, we’ll look at the CUA vasectomy guideline.

PVPS:

Vasectomy Reversal research:

Other stuff:

Progress! AUA changes PVPS stance.

The American Urological Association is now acknowledging higher rates of PVPS than the urological text books describe.

Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1-2% of men.

Local Copy
AUA Copy

This is big news.  Urologists have been telling patients that PVPS is 0.1% to 0.25% based on the studies in UpToDate.  We’ve just gone from 1 in 1000 to 1 in 50 odds.