BOOK REVIEWS

Greg Fournier of the Canadian PVP Association

Dr. Brad Bowins’ book, entitled, “Vasectomy, The Cruelest Cut of All,” should be required reading for a man considering a vasectomy. Spouses should read it also. The book will both surprise and enlighten those who think they know all there is to know about vasectomy. More importantly, the book is a valuable resource for men with post vasectomy pain syndrome (PVP). Dr. Bowins reviews in layperson’s terms the clinical studies on PVP in a logical and well organized fashion. He also provides a thorough examination of the physical, social, emotional and sexual difficulties that can arise from PVP.

Dr. Bowins explores the reasons why the decision to have a vasectomy is often made without a full appreciation of the risks involved, particularly the risk of PVP. He suggests that proper pre-vasectomy counseling and informed consent are often missing in the vasectomy process. He argues that they are amongst the most important components of the vasectomy decision. Dr. Bowins gives a simple and easy to understand description of the physiology of a man’s body before, during, and after vasectomy. He explains the physical characteristics and mechanics of post vasectomy pain and the reasons why post vasectomy pain is a natural outcome of vasectomy. Unique to his profession, Dr. Bowins explores the emotional parameters and sexual politics involved in the vasectomy decision. As a trained and practicing psychiatrist he is well positioned to give us his thought provoking comments on these matters. Congratulations Dr. Bowins. Your book is well written and timely.

L. Hodgkinson (Berkeley, CA, USA)

Dr. Bowin's book is essential reading for any man considering a vasectomy or suffering from testicular pain following a vasectomy. A significant minority of men, at least 1 in 100, have the severest testicular pain after vasectomy. This testicular pain is long-term, possibly lifelong, absolutely continuous, and overwhelmingly severe! Who would ride in a bus that had a 1 in 100 chance of a major accident that would cripple everyone inside and destroy their lives with severe continuous lifelong pain? No one. Similarly no one would choose vasectomy or allow it to be performed on any loved one if properly informed about PVPS and its significant rate of incidence. Dr. Bowin's book summarizes the papers on post-vascetomy pain in the medical literature and contains a wealth of information. Dr. Bowins concludes that, because of the unacceptable coplication of a high-rate of severe lifelong testicular pain following vasectomy, vasectomy should be discontinued. History will doubtless look back on vasectomy as a barbaric genital mutilation that crippled many men by placing them in a severe, continuous, lifelong pain. Thank goodness lobotomy was discontinued because it was disabling many people. Vasectomy should follow for the same reasons; severe continuous lifelong pain in the testes is a major disability that is extremely unpleasant and seemingly endless.

W. Day “Mo” (Grand Rapids, Michigan, USA)

I suggest the book for anyone considering vasectomy as it explains many things I should have understood before I went ahead with it.

The book outlines well how the system functions, how it reacts to vasectomy and gives possible ways of fixing the problem. Through it all he quotes studies which back up his explanations and conclusions.

Understanding how the system functions is important, and alone should draw guys away from the procedure, and leaves me curious as to how urologists can sell it.

I can’t say enough, I’ve spent a year of my life and a small fortune correcting for this mistake. Read this book, consider his arguments.

There are logical reasons why the public isn’t aware of how dangerous this procedure is, he covers some of them. The most important: guys don’t typically talk about their parts, even when they hurt. They are doing other men and society a disservice. Correctly states that the largest human cost is from the poor and those in poor countries, as they have no other option than to suffer.

TheTaoRunner "Anthony R. Ellis, M.D." (Michigan, USA)

Vasectomy can cause chronic pain. The incidence varies and cannot truly be known because most men suffer in silence after this procedure. In some studies I read, ten percent of men regretted having the procedure for a variety of reasons. It seems likely that many men have little or no trouble after vasectomy, but clearly, some do. Don't get the procecure without reading about the possibility of chronic pain. I think that if men knew the roughly ten to thirty percent likelihood of some form of chronic pain, then fewer would choose this procedure.

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