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[Hydrocele, spermatocele, and vasectomy: management of complications].
- Source :
-
Der Urologe. Ausg. A [Urologe A] 2014 May; Vol. 53 (5), pp. 671-5. - Publication Year :
- 2014
-
Abstract
- Indications for hydrocele and spermatocele treatment are based on diagnosis with high-resolution ultrasonography. It must be clear whether hydrocele or spermatocele lead to impairment of the patient - asymptomatic findings do not need correction. In case of younger men, the wish for children must be taken into account as both surgical procedures may lead to infertility, especially spermatocele resection may lead to epididymal obstruction. Advantages and disadvantages of the intervention must be discussed with the patient in detail. In men with a planned vasectomy, the physician must be certain that the patient understands the definitive character of this form of contraception. Men who are not aware of this condition or have conflicts with their partners may not be the best candidates for surgical vasectomy. All three treatment options (hydrocelectomy, spermatocele resection, and vasectomy) may be accompanied by fertility preservation procedures (e.g., cryopreservation of semen prior to surgery). Alternatively, the surgery should not be performed if any doubts exist. Postoperative management includes follow-up examinations and in case of vasectomy after 6-12 weeks and several ejaculations at least two semen analysis with proven azoospermia after centrifugation (or <100,000 immotile spermatozoa) should be documented. Compliance of men is best when this follow-up appointment is already scheduled at the time of surgery.
- Subjects :
- Follow-Up Studies
Humans
Infertility, Male etiology
Male
Patient Compliance
Patient Education as Topic
Postoperative Complications etiology
Postoperative Complications prevention & control
Semen Preservation
Spermatocele diagnosis
Testicular Hydrocele diagnosis
Spermatocele surgery
Testicular Hydrocele surgery
Vasectomy adverse effects
Subjects
Details
- Language :
- German
- ISSN :
- 1433-0563
- Volume :
- 53
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Der Urologe. Ausg. A
- Publication Type :
- Academic Journal
- Accession number :
- 24806800
- Full Text :
- https://doi.org/10.1007/s00120-014-3486-4