Royal College of Surgeons in Ireland
Incidence of Post-Vasectomy Pain Systematic Review and Meta-Analysis.pdf (788.01 kB)
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Incidence of post-vasectomy pain: Systematic review and meta-analysis

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posted on 2021-06-14, 07:53 authored by Austin B. Auyeung, Anas Almejally, Fahad Alsaggar, Frank DoyleFrank Doyle
This is the first systematic review and meta-analysis to ascertain incidences of post-vasectomy pain following traditional scalpel, or non-scalpel vasectomy. Electronic databases PubMed, Embase and PsycINFO were searched up to 1 July 2019 for peer-reviewed articles recording post-vasectomy pain. We identified 733 publications, screened 559 after removal of duplicates and excluded 533. Of the remaining 26 full-text articles, 8 were excluded with reasons, leaving 18 for detailed analyses. Meta-analysis was performed on 25 separate datasets (11 scalpel, 11 non-scalpel, 3 other/combined). Study follow-up ranged from 2 weeks to 37 years and sample sizes from 12 to 723 patients. The overall incidence of post-vasectomy pain was 15% (95% CI 9% to 25%). The incidences of post-vasectomy pain following scalpel and non-scalpel techniques were 24% (95% CI 15% to 36%) and 7% (95% CI 4% to 13%), respectively. Post-vasectomy pain syndrome occurred in 5% (95% CI 3% to 8%) of subjects, with similar estimates for both techniques. We conclude that the overall incidence of post-vasectomy pain is greater than previously reported, with three-fold higher rates of pain following traditional scalpel, compared to non-scalpel vasectomy, whereas the incidence of post-vasectomy pain syndrome is similar.



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Published Citation

Auyeung A, Almejally A, Alsaggar F, Doyle F. Incidence of post-vasectomy pain: systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2020;17(5):1788

Publication Date

10 March 2020

PubMed ID



  • Health Psychology
  • Undergraduate Research

Research Area

  • Population Health and Health Services




  • Published Version (Version of Record)