Vasectomy is a safe and effective method of contraception used by 42-60 million men worldwide. Approximately 3%-6% of men opt for a vasectomy reversal due to the death of a child or divorce and remarriage, change in f...Vasectomy is a safe and effective method of contraception used by 42-60 million men worldwide. Approximately 3%-6% of men opt for a vasectomy reversal due to the death of a child or divorce and remarriage, change in financial situation, desire for more children within the same marriage, or to alleviate the dreaded postvasectomy pain syndrome. Unlike vasectomy, vasectomy reversal is a much more technically challenging procedure that is performed only by a minority of urologists and places a larger financial strain on the patient since it is usually not covered by insurance. Interest in this procedure has increased since the operating microscope became available in the 1970s, which consequently led to improved patency and pregnancy rates following the procedure. In this clinical update, we discuss patient evaluation, variables that may influence reversal success rates, factors to consider in choosing to perform vasovasostomy versus vasoepididymostomy, and the usefulness of vasectomy reversal to alleviate postvasectomy pain syndrome. We also review the use of robotics for vasectomy reversal and other novel techniques and instrumentation that have emerged in recent years to aid in the success of this surgery.展开更多
Objective: To analyze the effect of pain nursing combined with exercise and posture intervention on improving Visual Analogue Scale (VAS) scores in patients after kidney stone surgery. Methods: A sample of 80 patients...Objective: To analyze the effect of pain nursing combined with exercise and posture intervention on improving Visual Analogue Scale (VAS) scores in patients after kidney stone surgery. Methods: A sample of 80 patients who underwent kidney stone surgery from October 2024 to October 2025 was randomly divided into groups using a random number table. Group A received pain nursing combined with exercise and posture intervention, while Group B received conventional nursing. Postoperative recovery time, VAS scores, and postoperative complications were compared between the two groups. Results: The postoperative recovery time in Group A was shorter than that in Group B, with p < 0.05. The VAS scores at 12 hours, 24 hours, and 72 hours postoperatively in Group A were all lower than those in Group B, with p < 0.05. The postoperative complication rate in Group A was lower than that in Group B, with p < 0.05. Conclusion: Pain nursing combined with exercise and posture intervention in postoperative nursing for kidney stone patients can shorten postoperative recovery time and alleviate pain scores.展开更多
Dear Editor,Inguinal hernia repair(IHR)performed during childhood is a prevalent etiological factor for obstructive azoospermia(OA)attributed to vasal injury.OA couples can achieve pregnancy through intracytoplasmic s...Dear Editor,Inguinal hernia repair(IHR)performed during childhood is a prevalent etiological factor for obstructive azoospermia(OA)attributed to vasal injury.OA couples can achieve pregnancy through intracytoplasmic sperm injection or natural pregnancy after microsurgical anastomosis.Recent advancements have highlighted the potential utility of laparoscopy-assisted vasovasostomy for treating OA caused by childhood herniorrhaphy.展开更多
文摘Vasectomy is a safe and effective method of contraception used by 42-60 million men worldwide. Approximately 3%-6% of men opt for a vasectomy reversal due to the death of a child or divorce and remarriage, change in financial situation, desire for more children within the same marriage, or to alleviate the dreaded postvasectomy pain syndrome. Unlike vasectomy, vasectomy reversal is a much more technically challenging procedure that is performed only by a minority of urologists and places a larger financial strain on the patient since it is usually not covered by insurance. Interest in this procedure has increased since the operating microscope became available in the 1970s, which consequently led to improved patency and pregnancy rates following the procedure. In this clinical update, we discuss patient evaluation, variables that may influence reversal success rates, factors to consider in choosing to perform vasovasostomy versus vasoepididymostomy, and the usefulness of vasectomy reversal to alleviate postvasectomy pain syndrome. We also review the use of robotics for vasectomy reversal and other novel techniques and instrumentation that have emerged in recent years to aid in the success of this surgery.
文摘Objective: To analyze the effect of pain nursing combined with exercise and posture intervention on improving Visual Analogue Scale (VAS) scores in patients after kidney stone surgery. Methods: A sample of 80 patients who underwent kidney stone surgery from October 2024 to October 2025 was randomly divided into groups using a random number table. Group A received pain nursing combined with exercise and posture intervention, while Group B received conventional nursing. Postoperative recovery time, VAS scores, and postoperative complications were compared between the two groups. Results: The postoperative recovery time in Group A was shorter than that in Group B, with p < 0.05. The VAS scores at 12 hours, 24 hours, and 72 hours postoperatively in Group A were all lower than those in Group B, with p < 0.05. The postoperative complication rate in Group A was lower than that in Group B, with p < 0.05. Conclusion: Pain nursing combined with exercise and posture intervention in postoperative nursing for kidney stone patients can shorten postoperative recovery time and alleviate pain scores.
基金supported by the National Key R&D Program of China(No.2022YFC2702701)Shanghai Scientific and Technological Project(No.20Y11907600)Clinical Research Innovation Plan of Shanghai General Hospital(No.CTCCR-2021C17).
文摘Dear Editor,Inguinal hernia repair(IHR)performed during childhood is a prevalent etiological factor for obstructive azoospermia(OA)attributed to vasal injury.OA couples can achieve pregnancy through intracytoplasmic sperm injection or natural pregnancy after microsurgical anastomosis.Recent advancements have highlighted the potential utility of laparoscopy-assisted vasovasostomy for treating OA caused by childhood herniorrhaphy.
