Philip Werthman, Mehran Movassaghi, Dean Berkis, Los Angeles, CA<\/p>\n
Presented at the American Urological Association Western Section Meeting 2010<\/strong><\/p>\n OBJECTIVES:<\/strong> Spermatic cord blocks delivered via needles have increased risks of hematoma or accidental injury to the vas. We evaluated a novel needleless approach in terms of post-operative pain and time spent in recovery in a retrospective manner. Our goal was show improved pain control using this novel method.<\/p>\n METHODS:<\/strong> 31vasectomy reversal patient charts were evaluated in terms of post-operative pain scores, intravenous pain management and time to discharge. Group 1 (n=18) received local anesthetic using our needleless approach while group 2 (n=13) received no local anesthesia.<\/p>\n RESULTS:<\/strong> All Group 1 patients had a starting and ending post-operative pain score of zero and none required any pain medication while in the recovery room. Group 2 patients had an average starting and ending pain scores of 4.8 (range 0-8) and required an average of 25 mcgs of fentanyl (range 0-100 mcgs). Group 1 patients had a significant (p=0.0023) reduction in post-operative pain. The average time spent in recovery was 75 minutes for Group 1 and 80 minutes for Group 2.<\/p>\n CONCLUSIONS:<\/strong> Local anesthetic instillation with marcaine prior to closing the vasectomy reversal incision allows patients to awaken pain-free, alleviates post-operative pain and the need for narcotics in the recovery room. Patients receiving local anesthesia had a slightly shorter recovery room stay than matched controls.<\/p>\n","protected":false},"excerpt":{"rendered":" Spermatic cord blocks delivered via needles have increased risks of hematoma or accidental injury to the vas. We evaluated a novel needleless approach in terms of post-operative pain and time spent in recovery in a retrospective manner. Our goal was show improved pain control using this novel method.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-1308","post","type-post","status-publish","format-standard","hentry","category-cmrm-research"],"_links":{"self":[{"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/posts\/1308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/comments?post=1308"}],"version-history":[{"count":0,"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/posts\/1308\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/media?parent=1308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/categories?post=1308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.malereproduction.com\/blog\/wp-json\/wp\/v2\/tags?post=1308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}