Doctor insights on:
Is it common for long term complications or pain to result from a full epididymectomy? Or is the procedure considered safe?
I am looking for a urologist in California or nearby that can perform epididymectomy. I need this procedure but cant find anyone in my area. Anyone?
Why do you need it?: Any procedure If medically indicated the doctor (s) will perform. There must be an indication, it s a simple procedure the reason you ' can't find' is may not be indicated, or you are not providing right information or other option go for2nd opinion. ...Read more
Wanted to know if anyone has had experience with an epididymectomy for chronic epididymitis or for post vasectomy problems?
Yes, . ..: For intractable pain with identifiable tenderness and induration in epididymis, epididymectomy can be done for pain relief after properly counseled and examined with realistic expectation. For post-vasectomy pain, vasectomy reversal has been proposed to effectively relive its pain for many. More? Contact me at www. HealthTap. Com/dr-Lin with RQPWJC to log in for appointments. Best wish to health... ...Read more
Since a vasectomy isn't 100% at preventing unintended pregnancies would a caudual epididymectomy be more effective?
Probably not: If you have no sperm in your ejaculate after vasectomy, there is almost no chance of impregnating a female. There is a slight chance of the vas reconnecting after a vas. To be safe you could do a sperm count in a year. ...Read more
What is the most effective treatment for post vasectomy pain? Spermatocelectomy and epididymectomy. Or vasectomy reversal. Vasectomy in 1996.
Depends on severity: Usually, we recommend simple non-steroidal anti-inflammatory therapies like Ibuprofen or Aleve (naproxen) to be taken on an as-needed basis. If the pain is constant, make an appointment with the urologist or physician who performed the procedure. They may order an ultrasound to evaluate the anatomy. Hope you feel better soon. ...Read more
Question for urologists: How many epididymectomies have you performed? Have you seen high success rates for chronic epididymitis from past chlamydia?
Success not likely: Epididymectomy may be considered for suspicious/possibly malignant masses but if this is the case then concurrent removal of the testicle may be needed. However, for chronic pain, often surgical removal is not effective for symptoms as they can return or never resolve at all even after surgery. Consultation with pain management may be needed if pain is debilitating. ...Read more