Abstract：
:A retrospective study was made of 200 patients undergoing transurethral prostatectomy. Half of these patients received bilateral vasectomies. The vasectomized patients had a 5-percent incidence of epididymitis as compared with a 2-percent incidence in the nonvasectomized patients. Vasectomy failed to provide adequate protection against postoperative epididymitis and cannot be recommended as a routine procedure with a transurethral prostatectomy. :Transurethral prostatectomy was performed on 200 patients from the Lettermen Army Medical Center. The patients were divided into 2 groups: group 1 (N=100) consisted of those who had bilateral vasectomies immediately before transurethral resection, while group 2 consisted of those who did not have vasectomy and had no prior history of vasectomy or epididymitis (defined as tenderness, swelling, and/or induration of the epididymitis with or without fever). The 2 groups were followed up from 3 months to 6 years. Group 1 exhibited a 5% incidence of epididymitis compared with group 2's 2% incidence. A significant difference observed between the 2 groups was the duration of hospital stay: group 1 averaged 16 days while group 2 averaged 13.25 hospital days. Although prolonged hospital stay has been associated with risk of iatrogenic wound infections, it is not known whether it is a factor in postprostatectomy epididymitis. One possible explanation for the mechanism of epididymitis is the reflux of infected urine into the vas deferens; this is the rationale for performing vasectomy to prevent epididymitis. Incidence of postprostatectomy epididymitis can be reduced by using better equipment and optics (for more accurate resectioning), early treatment of prostatism, and shorter hospital stay. The findings of this study suggest that vasectomy does not reduce incidence of epididymitis and hence cannot be used as a routine procedure with a transurethral prostatectomy.
journal_name
Urologyjournal_title
Urologyauthors
Whitlock NW,McAninch JW,Stutzman REdoi
10.1016/0090-4295(79)90281-4subject
Has Abstractpub_date
1979-02-01 00:00:00pages
135-8issue
2eissn
0090-4295issn
1527-9995pii
0090-4295(79)90281-4journal_volume
13pub_type
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