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Fwd: Vasectomy/Prostatitis

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William Matzke

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Mar 5, 1999, 3:00:00 AM3/5/99
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Scott I. Zeitlin, MD

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Mar 15, 1999, 3:00:00 AM3/15/99
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On 5 Mar 1999 16:21:10 -0800, AVIAT...@AOL.COM (William Matzke)
wrote:

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>From: AVIAT...@aol.com
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>To: rgulbr...@ameritech.net
>Subject: Re: Vasectomy/Prostatitis
>Date: Fri, 5 Mar 1999 17:07:10 EST
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>In a message dated 99-03-05 15:33:55 EST, you write:
>
><< Jim Van Sant wrote:
>
> > 1. How many prostatitis sufferers have had a vasectomy? I have and wonder
>if
> > there is a link.
> > 2. Can having a prostate biopsy procedure cause any cancer cells present to
> > be dislodged and circulate around and increase spreading to other areas of
> > the body? >>
>
>Jim,
>
>I have not had a vasectomoy but had discussion with a very well known surgeon
>of urology, Dr. Eugene Fuchs, who is well know for his sucess at vasectomy
>reversals. He was very much of the belief that vasectomys, particularly in
>younger men, can be the cause of chronic testicular pain. Reversals in such
>cases have born this theory out. With so much pain referal going on in this
>area this may be worth considering as a potential source. The idea is that the
>bodys' demand for testosterone and sperm production does not change but in
>some cases the testicle(s) will actually begin to swell due to lack of a means
>of escape. The reversal has evidently brought rapid relief for some. I believe
>Dr. Fuchs had said that he published an article on this subject but I do not
>know where it could be found.
>
>Fred
>
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The swelling that occurs after a vasectomy in patients with post
vasectomy pain syndrome is in the epididymis- the tube attached to the
testis that connects it to the vas deferens. Relief of the blockage
that causes the swelling is the reason that some patients get better
after the surgery.


Scott I. Zeitlin, MD
Institute for Male Urology
http://www.urol.com

wyzguy

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Mar 15, 1999, 3:00:00 AM3/15/99
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>
>
>Scott I. Zeitlin, MD
>Institute for Male Urology
>http://www.urol.com
You left out the fact in many cases the epididymis is "blown out" and
the only way to repair the damage is with a vasoepididymectomy.

Scott I. Zeitlin, MD

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Mar 16, 1999, 3:00:00 AM3/16/99
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An epididymal "blow out" relieves the pressure from the obstructed
epididymis and sperm leaks out. This is not "repaired" with a
vasoepididymectomy. The term ectomy refers to the removal of a
structure and therefore what you're referring to is the removal of the
vas deferens and the epididymis. A vasoepididymostomy is the
"reversal" of the vasectomy in which you connect the vas to the
epididymis.

Ed Mathews

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Mar 16, 1999, 3:00:00 AM3/16/99
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Dr. Zeitlin,
My CP started 1 month after my painful vasectomy also. But your post
mentions a possible problem that might be able to be corrected via
re-attaching the vas to the epididymis. I realize of course, there are
different ways of performing a vasectomy, and I'm quite sure I don't have my
vas any longer, as the doctor removed them and I saw them in a little jar
afterwards. Does that mean that the problem of which you speak is less
likely to be my problem, since I don't even have my vas any longer? Can you
comment on the different types of procedures?

Thanks for reading.
Ed
Send e-mail to it...@erols.com

wyzguy

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Mar 17, 1999, 3:00:00 AM3/17/99
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Vasectomy doesn't typically lead to CP. Although you
>may have CP in addition it is not necessarily related to the
>vasectomy.
Then how come as sooin as I had the reversal all my prostate problems
disappeared?? It only makes sense that the fluids are going to get
backed up if the vasectomy was done with both ends beind snipped.There
is also an autoimmune problem with sperm antigens, that is also a
secret, along with genito-femoral nerve damage, if someone is in a
hurry. the complication rate is between, 2-15% depending if you
believe, the British 15%, or US stats 2%.

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