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The Effect of Vasectomy upon the Incidence and Morbidity of Post‐Prostatectomy Epididymitis
Author(s) -
Beck A. David
Publication year - 1970
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1970.tb05611.x
Subject(s) - vasectomy , epididymitis , medicine , incidence (geometry) , prostatectomy , surgery , retrospective cohort study , urology , prostate , population , family planning , research methodology , cancer , physics , environmental health , optics
This paper, based on a retrospective analysis of 1, 346 patients dealt with by the Hryntschak technique of suprapubic prostatic adenomectomy, is intended to define the current role of vasectomy in prostatic surgery. There was a 50% reduction in the incidence of epididymitis following bilateral vasectomy, which provided absolute protection to patients with sterile wines who had not required preoperative catheterization. In contrast, neither urinary infection nor instrumentation affected the incidence of epididymitis in patients not subjected to vasectomy. The morbidity of epididymitis, as judged by the duration of postoperative hospital stay and the febrile resbonse, was significantly less in patients who underwent vasectoniy. It is concluded that bilatrral vasectomv should be performed on all patients submitted to open prostatectomy.