TITLE:
Post-Prostatectomy Epididymoorchitis: Is It Preventable by No Scalpel Vasectomy?
AUTHORS:
Mukesh Sangwan
KEYWORDS:
Catheterization Prostatectomy Vasectomy
JOURNAL NAME:
Open Access Library Journal,
Vol.1 No.6,
September
30,
2014
ABSTRACT: In spite of newer evolutions in the medical management of benign prostatic enlargement, surgery still continues to be an important modality. A prospective randomized controlled trial study conducted on 50 patients of benign prostate enlargement who were admitted inward from June 2007 to March 2010. Patients with diabetes mellitus or pre-existing epididymoorchitis were excluded from the study. All these patients were planned for prostatectomy (modified Freyer’s/TURP) with NSV (study group) or without NSV (control group), each group consisting of twenty five assigned randomly. Preoperative urine culture was positive in 52% of the patients in study group and 48% of the patients in control group. E coli was the most common organism in both groups. 4% of patients in study group developed epididymoorchitis while incidence rate of epididymoorchitis was 8% in control group (p => 0.05). The difference in the two groups was statistically insignificant. The total number of cases investigated in this study was fifty, so it does not meet the minimum required for statistical analysis. Therefore, a large scale of study should be carried out in future.