The Prostatitis Foundation

Vasectomy

 

Many patients report that their chronic prostatitis problems began after they had a vasectomy. Doctors and scientists have not provided any evidence which firmly disproves or proves that vasectomy can lead to chronic prostatitis. As is usual with issues unresolved by science, we're not going to tell you what to think, but just present the several arguments and let you make up your own mind. This file contains a number of newsgroup comments and private e-mails on the topic. Most of the names and e-mail addresses have been removed. -- Webmaster.
I've been suffering with pain and a "non bacterial" prostatitis diagnosis for 5 years now, following a painful vasectomy.
I too have had a vasectomy, but I had my first run-ins with prostatitis before the vasectomy. I date my chronic prostatitis (continuous symptoms for 9 years now) to the time I was catheterized for unrelated back surgery. I think the catheter introduced drug-resistant, hospital-bred bacteria into my prostate. But who can prove such a thing?
My feeling is, with millions of men have vasectomies, and millions of men having prostatitis, there will be many cases of both whether prostatitis is causative or not.
Besides, the main thing we have to work on is getting back control over our lives and urinary and sexual functioning, right?

Subject: A Vasectomy Can Cause Prostatis and Epididymitis
Date: Sat, 03 Jan 1998 07:12:00 GMT
Organization: [deleted]
Reply-To: [deleted]

If any of you out there in cyberland have had a vasectomy and then developed acute and chronic prostatis or epididymitis your treatment needs to be handled alot differently. Your Dr. will probably not recognize the corelation between the two for medicolegal reasons.It can be an awful condition.It is called A Late Post Vasectomy Syndrome. Journal of Urology March 1985 Vol. 134 Drs. Selkowitz and Schned.
The truth is out there!--


Subject: Chronic Post-Vasectomy Pain a Reality
From: [deleted]
Date: Wed, 24 Jun 1998 15:43:17 -0000
Breaking my own rule about staying on topic, I bring you this news as a service to the many people who recently posted here about testicular and SV pain. Without their own NG it must be tough.
Tuesday June 23 1:47 PM EDT

Chronic pain rare side effect of vasectomy

NEW YORK, Jun 23 (Reuters) -- Some men may experience chronic pain after vasectomy, however, the evidence still shows that the surgical procedure does not increase the risk of prostate cancer, according to a National Institutes of Health (NIH)-sponsored meeting that took place recently in Bethesda, Maryland.

Dr. Harry Guess of the University of North Carolina in Chapel Hill noted that an NIH expert panel concluded in 1993 that there was no biologic mechanism for a link between vasectomy and cancer. Studies that suggested an association were inherently flawed, he said.

Noting that prostate cancer screening, and prostate cancer incidence, have increased markedly in the last decade, Guess commented, "The more you look, the more you find."

Vasectomy has several known potential complications, including hematomas (bleeding) and sperm granulomas (an inflammatory response to sperm leakage). Chronic pain syndrome may also be a side effect of the procedure, Guess said.

Pain syndrome -- defined as chronic testicular pain lasting longer than 3 months after the operation in men who had no similar type of pain before the procedure -- was first defined in 1985, noted Dr. Allen Seftel, an associate professor of urology at Case Western Reserve University, Cleveland, Ohio.

The incidence of the syndrome is unknown, but it probably affects 6% or fewer of the 500,000 men who undergo vasectomy in the US each year. It is more common after a "difficult" vasectomy. The pain could be due to surgical trauma to the structures around the vas deferens, resulting in "chronic neuralgia," according to a statement from Seftel's group. In affected patients, pain may occur "anywhere along the epididymis or vas deferens. The pain may (also) radiate to the groin."

The condition can be treated with reverse vasectomy, the drug gabapentin, which relieves pain in about 30% of cases, or a nerve block, which can help another third of patients, according to Seftel.

 

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