Pɔst-Vasectomy Pain Syndrome (PVPS): Lɛ wi tɔk bɔt am

Vasectomy na wan fayn we fɔ plan famili we bɔku pipul dɛn kin pik. Bɔt, na smɔl tɛm nɔmɔ, na smɔl pipul dɛn kin gɛt pen we nɔ de dɔn na di tɛstikul dɛn afta dis ɔpreshɔn. Tide wi go tɔk bɔt dis lɔng tɛm pen, we dɛn kin kɔl bak ``Post-Vasectomy Pain Syndrome'' ɔ ``(PVPS)'' . Nɔr wɔri, dis nɔr kin bɔrku, bɔt i fayn fɔ mek ɔlman no.

Fɔs, wetin na vasectomy?

Fɔ tɔk am simpul wan, vasectomy na smɔl ɔpreshɔn we dɛn kin du pan man fɔ stɔp am fɔ bɔn pikin fɔ ɔltɛm . Wi kin kɔl am bak “man sterilization.” Bɔku tɛm, na dɔktɔ we spɛshal pan di urinary ɛn reproductive system, we dɛn kɔl Urologist, kin du dis ɔpreshɔn.

dis כpεrayshכn involv fכ kכt כ blok di tu tכb dεm we de kכri sεl frכm yu tεstikul dεm, di vas diferens tyub dεm. bifo di vasectomy, di sεl dεm de kכmכt lεk sεmεn bay we dεn miks wit כda wata dεm. Bɔt afta di ɔpreshɔn, di swɛlin nɔ kin ebul fɔ travul tru di tiub dɛn we dɛn kɔt ɔ we dɛn dɔn blok. afta dat dεn de abzכp di sεl dεm bak insay di bכdi insay di tεstikul dεm.

Di impɔtant tin na dat afta yu dɔn pul yu vasectomy, yu kin ejaculate ɛn gɛt orgasm lɛk aw yu kin du . Bɔt da ejaculate de nɔ go gɛt di sperm we dɛn nid fɔ mek pikin. fכ dat, uman in eg nכ go fεtilayz εn bεlε nכ go apin.

Jɔs tink, if yu ɛva want fɔ bɔn ɔda pikin, sɔmtɛm yu kin gɛt dis vasectomy rivɛns (a `vasectomy reversal` ɔ `vasovasostomy`). Bɔt dɔktɔ dɛn kin si dis as we fɔ kɔntrol pikin we go de sote go .

Aw kכmכn dεn kכl dis kכndyushכn ``(PVPS)''?

Infakt, di prɔblɛm dɛn we kin apin afta dɛn dɔn pul di vasectomy nɔ kin bɔku. akɔdin to di mεdikal ripɔt, wan ɔ tu pan ɛvri ɔndrɛd (100) vasectomy ɔpreshɔn kin rilizɔt dis kכndyushכn we dεn kכl ``PVPS'' . Dɛn se ɛvri ia na lɛk fayv ɔndrɛd tawzin ɔpreshɔn dɛn we dɛn kin du fɔ pul di vasectomy ɔlsay na di wɔl. We yu luk am da we de, ``PVPS'' na tin we kin apin we nɔ kin apin so ɔltɛm. So, no rizin nɔ de fɔ mek wi wɔri we wi nɔ nid fɔ wɔri.

Wetin mek ``Post-Vasectomy Pain Syndrome – PVPS'' kin apin?

Na ya i kin kɔnfyus smɔl. Di wan dɛn we sabi bɔt mɛrɛsin stil nɔ no bɛtɛ bɛtɛ wan wetin mek na sɔm man dɛn nɔmɔ kin gɛt dis pen we nɔ de dɔn . Bɔt sɔm tin dɛn de we dɛn tink se go mek i gɛt am:

• Konjestiv epididymitis: di epididymis na sכm sכm tכb we kכyl we de bihayn di tεstikul dεm we de stכr di sεl dεm. Sɔntɛnde, di swɛlin kin kɔnjɛkt ɛn swel ya. Dɛn kin kɔl dis bak ɛdima.
• Damej to di vas diferens: Sɔm damej to di vas diferens kin apin we dɛn de du ɔpreshɔn.
• inflameshn: Na sכm kayn inflameshn we de apin, i.e., fכ fכm, na di εria we dεn de du di כpεrayshכn.
• Nεv kכmprεshכn כ nyuropati: Kכmpreshכn כ damej pan wan nεv na di εria we di sik afekt. Dɛn kin kɔl dis bak nyuropati.
• Ska tisu: di fכmeshכn fכ ska tisu na di εria afta di כpεrayshכn εn di pen we de kכmכt.
• sεl granuloma: dis na we sכm sכm sεl dεm de lik kכmכt na di kכt εnd fכ di vas difεrεns εn fכm sכm sכm sכm sכm sכm sכmtεm rawnd am as riakshɔn. Sɔntɛnde, dis kin mek yu fil pen.

So, a biliv se dis ``(PVPS)`` situeshɔn kin apin bikɔs ɔf wan rizin ɔ wan kɔmbaynshɔn fɔ sɔm rizin dɛn.

Wetin na di sayn dɛm fɔ dis `(PVPS)`?

di men εn כnli simptom fכ PVPS na di pen we de fכ lכng tεm na di tεstikul dεm we de las fכ tri (3) mכnt כ ​​mכr . Fɔ sɔm pipul dɛn, dis pen kin bigin jɔs afta dɛn dɔn du di ɔpreshɔn. Fɔ ɔda pipul dɛn, dis pen kin apin sɔm mɔnt ɔ ivin sɔm ia afta dat.

De kayn pen kin difrɛn bak frɔm wan pɔrsin to ɔda pɔrsin:

• Sɔm pipul dɛn kin fil lɛk se dɛn nɔ gɛt wan prɔblɛm ɛn dɛn kin fil pen ɔltɛm na dɛn tɛstikul .
• Fɔ ɔda pipul dɛn, di pen kin de wan wan tɛm ɛn kam ɛn go .
• Sɔm man dɛn kin fil mɔ pen we dɛn de du ɛksɛsayz, we dɛn de du mami ɛn dadi biznɛs, we dɛn de erection, ɔ we dɛn de ejakul .

De tin wae impɔtant pas ɔl na dat, if yu gɛt dis kayn pen, nɔr ignore am ɛn go to dɔktɔ advays.

Us ɔda tin dɛn kin mek yu gɛt sayn dɛn we fiba PVPS?

PVPS nכto di כnli tin we de mek di tεstikul pen. So, dɔktɔ go fɔs pul ɔda tin dɛn we kin mek pɔsin fil pen. Na sɔm ɔda tin dɛn we kin mek pɔsin gɛt dis:

• Hydrocele: Na wan tin we tan lɛk wata we de rawnd di tɛstikul dɛn.
• Infεkshכn: Fכ egzampl, urinary tract infεkshכn (UTI).
• Inguinal hernia: Na wan pat pan di intestin we de kɔmɔt na di bɔdi tru di groin eria.
• Prɔstataytis: Na inflamɛns na di prɔstat gland.
• Testicular cancer: Dis nɔ kin apin so ɔltɛm, bɔt na sɔntin we dɛn nid fɔ pul kɔmɔt.
• di tεstikul tכshכn: Dis na imejensi kכndyushכn we di tεstikul de twist rawnd insεf, we de kכt in bכdi saplai.
• Ɔda Tumɔs: Ɔda benign ɔ malignant tumor dɛm we kin apin na di tɛstikul dɛm.
• Varicocele: Na wan kכndyushכn we di vein dεm ( bכdi vεsεl dεm) na di tεstikul dεm de dilayt.wan kכndishכn we di vein dεm (vεn dεm) de sho se dεn swεla εn kכt.

So, if yu gɛt tɛstikul pen, di dɔktɔ go tink bɔt ɔl dis ɛn kam fɔ no sɔntin.

Aw dɔktɔ dɛn kin no dis ``(PVPS)`` kɔndishɔn kɔrɛkt wan?

Fɔ tru , nɔ patikyula tɛst nɔ de fɔ no if pɔsin gɛt PVPS. Di dɔktɔ go mɔ:

1. Lisin gud wan to di sayn dɛn we yu de gɛt . Ditiɛl lɛk aw de pen tan, aw lɔng i dɔn de, ɛn ustɛm i kin wɔs.

2. Fɔ du wan ɛgzam fɔ yu bɔdi . Dɛn kin chɛk di tɛstikul ɛn di say we de rawnd am.

pan tap dat, dεn kin du sכm tεst fכ ``rule out`` כda kכndyushכn dεm we kin de mek di tεstikul pen we wi bin tכk bכt:

• Urinalysis, urine culture, ɛn semen culture: Dɛn tin ya kin no tin dɛn lɛk infɛkshɔn.
• Imej tɛst: Fɔ ɛgzampul, dɛn kin du ɔltra saund skan. dis kin luk insay di tεstikul dεm εn chεk fכ lumps, lεk sist.
• di sεl kכd blכk (כ nεv blכk): Dis min fכ injεkt wan lokal anεsthεtik insay di nεv dεm we dεn tink se de kכri pen. If dis kin mek di pen nɔr de fil fɔ sɔm tɛm, dɛn kin tink se na di nerv dɛn kin mek di pen. Dɛn kin yuse dis fɔ ɔl tu diagnosis ɛn sɔmtɛm as tritmɛnt.

Wetin na di tritmɛnt fɔ PVPS we dɛn nɔ gɛt ɔpreshɔn?

Bɔku tɛm, dɔktɔ dɛn kin tray fɔs fɔ kɔntrol di pen wit tritmɛnt dɛn we nɔto ɔpreshɔn. Wi kin kɔl dɛn tin ya ``nɔ-sɔjik tritmɛnt dɛm''.

• Pɛlvik flɔ ɛksesaiz: Dɛn kin kɔl dɛn tin ya bak “Kegels fɔ man dɛn.” If yu strɔng di mɔsul dɛm na yu bɛlɛ (we de sɔpɔt yu blad, yu bɔdi, ɛn yu bɔdi fɔ bɔn pikin) kin ɛp sɔm pipul dɛm fɔ ridyus di pen. Yu kin gɛt ɛp frɔm spɛshal trenin fyzikal thɛrapist fɔ dis.
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil pen: Di mɛrɛsin dɛn we dɛn kin yuz na di mɛrɛsin dɛn we nɔ de mek pɔsin fil pen (NSAID), lɛk ibuprofen ɛn naproxen.
• Antidipreshan: Sɔm antidipreshan, wae yu kin yuse am na smɔl dos, kin ɛp fɔ kɔntrol pɔrsin wae de fil fɔ lɔng tɛm.
• Nyuropatik pen we de mek pɔsin fil pen: Dɛn kin yuz drɔgs lɛk Gabapentin ɔ Pregabalin fɔ mɛn di pen na di nerve.
• Kɔmplimɛnt mɛrɛsin:Sɔm pipul dɛn dɔn gɛt rilif bak tru we dɛn lɛk akupankcha ɔ bayɔfidbak.

Di dɔktɔ go disayd di tritmɛnt plan we go fayn fɔ yu bay we i go jɔyn wan ɔ mɔ pan dɛn tritmɛnt ya.

Wetin na di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn?

If di tritmɛnt dɛn we wi dɔn tɔk bɔt we nɔto ɔpreshɔn nɔ de mek yu fil pen, yu dɔktɔ kin tink bɔt fɔ du ɔpreshɔn. Sɔntɛnde, fɔ trit di pen we PVPS kin gɛt fɔ lɔng tɛm kin tranga , bɔt tritmɛnt dɛn de we kin gi op.

Bɔku ɔpreshɔn dɛn de we yu kin du, i kin dipen pan di rizin we mek yu de fil:

• Vasectomy reversal: I sɔprayz fɔ no se dis kin ridyus ɔ pul pen kpatakpata pan pas 9 pan ɛvri 10 man dɛn . Bɔt mɛmba se yu go ebul fɔ bɔn pikin dɛn bak afta dis.
• Fɔ pul swɛt granuloma: If swɛt granuloma de, lɛk aw wi bin dɔn tɔk, dɛn kin ɔpreshɔn am.
• Epididymectomy: Dɛn kin pul wan ɔ ɔl tu di epididymis.
• maykrodenεvεshכn fכ di sεl kכd (כ kכd strip): dis involv fכ sεlekt fכ pul di dilik nεv dεm na di sεl kכd we dεn tink se na dεn de mek di pen. Dis na wan we we rili kɔmpleks.
• Orchiectomy: Dɛn kin pul wan ɔ ɔl tu di tɛstikul dɛn. Dis nɔ kin apin so ɔltɛm ɛn na if nɔ ɔda tritmɛnt nɔ de pul di pen .

Di dɔktɔ go ɛksplen dɛn ɔpreshɔn ya to yu ɛn ɛp yu fɔ pik di wan we go fayn fɔ yu.

We de fɔ mek dis `(PVPS)` nɔ apin?

As wi bin dɔn tɔk, PVPS na wan sik we nɔ kin apin so ɔltɛm. Dɔn bak, bikɔs dɛn nɔ no gud gud wan wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt am, naw natin nɔ de we dɛn kin du fɔ mek dɛn nɔ gɛt am spɛshal wan . Di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ bɔt am bifo yu du di vasectomy ɛn fala ɛni instrɔkshɔn we i go gi yu afta di ɔpreshɔn.

Aw lɔŋ dis `(PVPS)` pen go las?

Dis na tin we at fɔ tɔk. Sɔm pipul dɛn kin gɛt rilif kwik kwik wan we dɛn de trit dɛn. Mɔ di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn kin rili wok fayn. Fɔ ɛgzampul, we dɛn pul di vasectomy , dat kin mek nayn pan tɛn man dɛn nɔ gɛt pen . Microdenervation de mek tri pan ɔl 4 man dɛn nɔ gɛt pen .

Bɔt, i sɔri fɔ no se sɔm man dɛn kin kɔntinyu fɔ gɛt pen ivin afta dɛn dɔn du dɛn ɔpreshɔn. Dat na di chalenj wit dis kɔndishɔn.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn du vasectomy ɛn yu gɛt ɛni wan pan dɛn sayn ya, mek shɔ se yu go to dɔktɔ:

• Prɔblɛm fɔ du mami ɛn dadi biznɛs: Tin dɛn lɛk pen we yu de du mami ɛn dadi biznɛs, prɔblɛm fɔ gɛt erection (erectile dysfunction).
• if di tεstikul dεm כ di sak we de rawnd di tεstikul dεm (skrotum) dכn swεla.
• Pen na di tɛstikul dɛm we dɔn de fɔ sɔm mɔnt.

Nɔ ignore tin dɛn lɛk dis. I bɛtɛ fɔ go to dɔktɔ kwik kwik wan ɛn gɛt advays.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ mek yu mɛmba dɛn kwɛstyɔn ya:

• "Wetin kin de mek dis `(PVPS)` kondishon fo mi?"
• "Us tritmɛnt we nɔto ɔspitul we bɛtɛ fɔ mi?"
• “A go nid ɔpreshɔn?If na so, us kayn ɔpreshɔn go bɛtɛ fɔ mi?”
• “Ɛni ɔda prɔblɛm dɛn de we a fɔ kɔntinyu fɔ wach fɔ?”

If yu aks dɛn kwɛstyɔn ya, yu go ɔndastand yu sik gud gud wan ɛn no bɔt aw fɔ trit yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Fɔ man we nɔ want pikin igen, fɔ pul di vasectomy na wan we we rili sef ɛn we go de sote go fɔ plan famili . Di risk fɔ gɛt wan sik we dɛn kɔl ``Post-Vasectomy Pain Syndrome (PVPS)'' rili smɔl. Nɔ wɔri bɔt am we yu nɔ nid fɔ wɔri.

Bɔt if yu gɛt pen fɔ lɔng tɛm na yu tɛstikul dɛn wantɛm wantɛm afta dɛn dɔn pul yu vasectomy, tritmɛnt dɛn de we dɛn kin du ɔpreshɔn ɛn nɔ ɔpreshɔn we go ɛp yu . So, nɔ shem ɔ bia wit di pen . Tɛl yu dɔktɔ bɔt dis pen. Dɔn i kin du di tɛst dɛn we yu nid, gi yu di tritmɛnt we fit pas ɔl, ɛn gi yu fridɔm. Yu na di wan we fɔ bisin mɔ bɔt yu wɛlbɔdi biznɛs.

` Post-Vasectomy Pain Syndrome, PVPS, vasectomy, man sterilayzeshɔn, tɛstikul pen, pen we nɔ de dɔn, tɛstikul pen