Post-Vasectomy Pain Syndrome (PVPS): A chungchang hi han sawi ila

Vasectomy hi chhungkaw ruahmanna hlawhtling tak a ni a, mi tam takin an thlang thin. Mahse, a tlem hle a, mi tlemte chauhvin he operation hnuah hian testicles-ah natna nghet tak an nei thei a ni. Vawiin hian he hun rei tak chhunga natna, ``Post-Vasectomy Pain Syndrome'' emaw ``(PVPS)'' tia hriat bawk hi kan sawi dawn a ni. Ngaihtuah buai suh, hei hi a tam vak lova, mahse mi zawng zawng tan fimkhur a tha.

A hmasa berah chuan vasectomy tih hi eng nge ni?

A awlsam zawngin, vasectomy chu mipa fa neih lohna tura a tawp thlenga tihkhawtlai tura operation tenau tak tih a ni . “Mipa sterilization” kan ti bawk. He surgery hi doctor, urinary leh reproductive system lama tui, Urologist tia koh a ni tlangpui.

He surgery hian i testicles atanga sperm phurtu tube pahnih, vas deferens tube te chu cut emaw block emaw a ni. Vasectomy hma hian sperm hi tui dang nena inhmeh takin semen angin a chhuak thin. Mahse, operation hnuah chuan sperm chu cut emaw blocked tube emaw kal tlangin a kal thei lo. Chumi hnuah chuan sperm chu testicles chhungah taksaah a insiam leh leh a ni.

A pawimawh ber chu vasectomy hnuah i ejaculate thei a, a hma ang bawkin orgasm i nei thei bawk . Mahse, chu ejaculate chuan naute siamna atana sperm mamawh chu a pai dawn lo. Chuvangin hmeichhe egg chu a fertilized lo ang a, naupai pawh a awm lo ang.

Ngaihtuah teh, fa dang i neih duh chuan a chang chuan he vasectomy hi reversed (a `vasectomy reversal` emaw `vasovasostomy`) i nei thei bawk. Mahse doctor te chuan hei hi permanent birth control method ah an ngai a .

Hetiang dinhmun hi engtiang chiahin nge ``(PVPS)'' tia koh a nih?

Dik tak chuan vasectomy hnua harsatna awm hi a tlem hle. Medical report-a a lan dan chuan vasectomy surgery za (100) zinga pakhat emaw pahnih emaw hian he natna hi ``PVPS'' an tih hi a thlen thin . Khawvel pumah kum tin vasectomy surgery sang nga vel an ti thin niin an sawi. Chutianga i en chuan ``PVPS'' hi thil thleng tlem tak a ni. Chuvang chuan ṭul lova lungngaihna chhan tur a awm lo.

Engvangin nge ``Post-Vasectomy Pain Syndrome – PVPS'' hi a lo awm?

Hetah hian a buaithlak deuh thin. Medical expert te chuan engvangin nge mipa thenkhat chauh hian he natna khirh tak hi an tawk tih chiang takin an la hre lo . Mahse, a thlentu ni thei tura an ngaih thil tlemte a awm a:

• Congestive epididymitis: Epididymis hi tube te tak te, coiled tak, testicles hnung lama awm, sperm dahkhawmna a ni. A chang chuan hetah hian sperm hi a inzawm khawm thei a, a hring thei bawk. Hei hi edema an ti bawk.
• Vas deferens chhiatna: Operation laiin vas deferens chhiatna engemaw zat a awm thin.
• Inflammation: Surgery hmuna inflammation chi khat, i.e., flare-up a awm.
• Nerve compression emaw neuropathy: A natna hmuna nerve pakhat compression emaw tihchhiat emaw. Hei hi neuropathy an ti bawk.
• Scar tissue: Operation hnua a hmuna scar tissue lo awm leh a rah chhuah natna.
• Sperm granuloma: Hei hi vas deferens tawp cut atanga sperm tlemte a chhuak a, a chhehvelah lump te tak te a siam a, chu chu reaction angin a ni. Hei hi a chang chuan a hrehawm thei hle.

Chuvangin, he ``(PVPS)`` dinhmun hi chhan pakhat emaw, chhan hrang hrang inzawmkhawm vang emaw a awm thei niin ka ring.

He `(PVPS)` chhinchhiahnate hi engte nge ni?

PVPS chhinchhiahna ber leh awmchhun chu thla thum (3) emaw a aia rei emaw chhunga testicles natna rei tak a ni . Mi thenkhat tan chuan he natna hi operation hnu lawkah a intan thei a ni. Mi dangte tan chuan he natna hi thla tam tak hnuah emaw, kum tam tak hnuah emaw pawh a awm thei.

Natna awm dan pawh mi hrang hrangah a inang lo thei bawk:

• Mi thenkhat chuan an testicles ah hian dull , constant aching feeling an nei thei .
• Mi dangte tân chuan a natna chu a inthlâk danglam thei a, a lo kal leh chhuak thei bawk .
• Mipa ṭhenkhat chuan exercise an neih laiin, mipat hmeichhiatna an hman laiin, an taksa an chhuah laiin, a nih loh leh an chhuah laiin natna an nei tam zâwk thei a ni .

A pawimawh ber chu hetiang natna hi i neih chuan ngaihthah suh la, damdawi lam thurawn la rawh.

Eng dinhmun dang nge PVPS ang chi natna thlentu?

PVPS chauh hi testicular pain thlentu a ni lo. Chuvangin, Doctor chuan a natna thlentu dangte chu a paih chhuak hmasa ang. Hei hi a thlen thei dinhmun dang thenkhat chu hetiang hi a ni:

• Hydrocele: Testicles vel a tui ang maia awm.
• Infection: Entirnan, zun kawng infection (UTI).
• Inguinal hernia: Intestine hmun thenkhat atanga groin area atanga rawn chhuak.
• Prostatitis: Prostate gland a natna a ni.
• Testicular cancer: Hei hi a awm lo hle a, mahse paih chhuah ngai thil a ni.
• Testicular torsion: Hei hi emergency condition a ni a, testicle chu a inher kual a, a thisen supply a titawp a ni.
• Tumor dang: Tumor dang benign emaw malignant emaw, testicles-a awm thei.
• Varicocele: Testcle chhunga veins ( thisen kalna kawng) te chu a zau chhoh dan a ni.Vein (veins) te chu a hring leh knot angin a lang.

Chuvangin testicular pain i neih chuan doctor chuan heng zawng zawng hi a ngaihtuah ang a, thutlukna a siam ang.

Engtin nge doctor-te hian he ``(PVPS)`` dinhmun hi dik taka an hriat theih?

A nihna takah chuan PVPS hriat theihna tur diagnostic test bik a awm lo . Doctor chuan a bik takin:

1. I natna lan chhuah dan te ngun takin ngaithla rawh . Details te chu a natna chu eng ang nge a nih, eng chen nge a awm tawh, engtikah nge a na zual tih te.

2. Taksa enfiahna tih . Testicles leh a chhehvel te chu an enfiah thin.

Chu bakah, test thenkhat chu kan sawi tawh ang khan testicular pain thlentu tur condition dang ``rule out`` turin tih theih a ni bawk :

• Urinalysis, urine culture, leh semen culture: Hengte hian natna hrik ang chi thil a hmuchhuak thei a ni.
• Imaging test: Entirnan, ultrasound scan hmanga enfiah a ni. Hei hian testicles chhung lam a en thei a, lumps, cysts ang chi a awm leh awm loh a enfiah thei bawk.
• Spermatic cord block (or nerve block): Hei hian natna kengtu nia ngaih nerve-ah local anesthetic inject a ni. Hei hian hun eng emaw chen a natna a tihziaawm chuan nerve hi natna thlentu nia ngaih a ni. Hei hi diagnosis atan pawh hman a ni a, a chang chuan enkawlna atan pawh hman a ni.

Operation tel lova PVPS enkawl dan tur chu engte nge ni?

Vawi tam tak chu doctor-te chuan nonsurgical treatment hmangin natna thunun an tum hmasa ṭhin. Hengte hi ``nonsurgical treatment'' kan ti a.

• Pelvic floor exercise: Hengte hi “Mipa tan Kegels” an ti bawk. I pelvic floor-a thau (i bladder, bowels, leh reproductive organs te thlawptu) tihchak hian mi thenkhat chu natna tihziaawmna turin a pui thei a ni. Hemi atan hian physical therapist specially trained hnen atangin tanpuina i dawng thei ang.
• Natna tidamtu: Damdawi hman tlanglawn tak takte chu nonsteroidal anti-inflammatory drugs (NSAIDs), ibuprofen leh naproxen te an ni.
• Antidepressant: Antidepressant thenkhat chu a tlem berah hman a nih chuan hun rei tak chhunga natna control turin a pui thei a ni.
• Neuropathic pain relievers: Damdawi Gabapentin emaw Pregabalin emaw te hi nerve natna enkawlna atan hman a ni.
• Complementary damdawi lam: 1.1.Mi thenkhat chuan acupuncture emaw biofeedback emaw ang chi hmangin hahdamna an hmu bawk.

Doctor chuan heng enkawlna pakhat emaw, a aia tam emaw inzawmkhawmin i tana enkawlna tur ruahmanna tha ber a ruat ang.

Surgery hmanga enkawlnate chu engte nge ni?

A chunga kan sawi tak nonsurgical treatment-te hian natna tihziaawmna a pe tawk lo a nih chuan i doctor chuan operation tih a ngaihtuah thei ang. PVPS hun rei tak chhunga natna enkawl chu a châng chuan a harsa thei , mahse beiseina pe thei enkawlna a awm.

Surgery tih theih hrang hrang a awm a, chu chu a natna chhan bulpui a zirin a ni:

• Vasectomy reversal: Mak tak maiin, hei hian mipa 10 zinga 9 aia tam natna a tihziaawm emaw, a ti bo vek emaw a ni . Mahse, hemi hnu hian fa i nei leh thei dawn tih hre reng ang che.
• Sperm granuloma lakchhuah dan: A hmaa kan sawi tawh ang khan sperm granuloma a awm chuan surgery hmanga lakchhuah a ni.
• Epididymectomy: Epididymis pakhat emaw, a pahnih emaw lakchhuah.
• Microdenervation of the spermatic cord (or cord stripping): Hei hian spermatic cord chhunga nerve nalh tak tak, natna thlentu nia ngaihte chu thlan chhuah hmanga lak chhuah a ni. Hei hi kalphung buaithlak tak a ni.
• Orchiectomy: Testcle pakhat emaw pahnih emaw lakchhuah. Hei hi tih a tlem hle a , enkawlna dangin a natna a tihziaawm loh chuan tih chauh a ni .

Doctor chuan heng surgery te hi a hrilhfiah ang che a, i dinhmun nena inmil ber tur thlang turin a pui ang che.

Hetiang `(PVPS)` hi a thlen loh nan kawng a awm em?

Sawi tawh ang khan PVPS hi a tlem hle. Tin, mi thenkhatah chauh a awm chhan chiang taka hriat a nih loh avangin tunah hian a bik taka venna tur engmah tih theih a awm lo . A tha ber chu vasectomy i tih hmain i doctor nen inbiakna neih hmasak phawt la, operation hnua a pek theih tur thupek eng pawh zawm la.

He `(PVPS)` natna hi eng chen nge a awm ang?

Hei hi sawi a har khawp mai. Mi thenkhat chuan enkawlna atang hian hahdamna an hmu thuai thin. A bik takin surgery hmanga enkawlna hi a hlawhtling thei hle. Entirnan, vasectomy reversal hian mipa sawm zinga 9-ah natna a tiziaawm . Microdenervation hian mipa pali zinga pathum chu natna a tiziaawm a ni .

Mahse, vanduaithlak takin mipa thenkhat chuan operation hnuah pawh natna an nei chhunzawm zel thei. Chu chu he condition nen hian challenge chu a ni.

Engtik hunah nge doctor ka hmuh ang?

Vasectomy i tih tawh a, a hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni:

• Sexual function lama harsatna: Sex hman laiin natna, erection neih harsat (erectile dysfunction) ang chi thil te.
• Testicles emaw, testicles vel (scrotum) vel sac emaw a lo hring a nih chuan.
• Thla tam tak chhunga awm tawh testicles natna.

Hetiang thil hi ngaihthah suh. A rang thei ang bera doctor pan a, thurawn lak a tha ber.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi i ngaihtuah reng a tha ang:

• "Eng thilin nge ka tan he `(PVPS)` dinhmun hi a thlen theih?"
• "Eng non-surgical treatment nge ka tan a tha ber?"
• “Surgery ka mamawh dawn em ni?A nih chuan eng surgery chi nge ka tan a tha ber?”
• “Complication dang ka fimkhur chhunzawm zel tur a awm em?”

Heng zawhnate hi zawh hian i dinhmun hriatthiamna tha zawk i nei thei a, enkawlna chungchang pawh i hre thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Fa duh tawh lo mipa tan chuan vasectomy hi chhungkaw ruahmanna siamna atana hmanraw him leh awm reng a ni . ``Post-Vasectomy Pain Syndrome (PVPS)'' tih natna vei theihna hi a takah chuan a hniam hle. A tul lovah lungngai suh.

Mahse, vasectomy i tih hnua i testicles-ah hun rei tak chhung natna i neih thut chuan, surgical leh nonsurgical treatment pahnih a awm a, chu chuan a pui thei a ni . Chuvângin, mualpho suh la, hrehawmna chu tuar suh . He natna hi doctor hnenah hrilh rawh. Chumi hnuah chuan test tul tak tak a ti thei a, enkawlna \ha ber a pe thei che a, hahdamna a pe thei bawk che a ni. I hriselna ngaihtuah ber tur chu nangmah i ni.

` Post-Vasectomy Pain Syndrome, PVPS, vasectomy, mipa sterilization, testicular na, natna rei tak, testicular na