Chronic Scrotal Content Pain: a Review of the Literature and Management Schemes

Oh, Paul; Bajic, Petar; Lundy, Scott; Ziegelmann, Matthew; Levine, Laurence A.

doi:10.1007/s11934-020-01026-6

Cited by 6 publications

(3 citation statements)

References 75 publications

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“…If the pain is more severe or does not resolve on its own, patients may ultimately require more invasive surgical management, which may involve epididymectomy. 4,8 From a fertility standpoint, only one side was documented to be injured. His physical examination was otherwise normal, with age-appropriate sized testicles.…”

Section: Discussionmentioning

confidence: 99%

Case – Vas deferens injury after herniorrhaphy leading to epididymal blowout in a pediatric patient

White

MacNevin

Romao

et al. 2023

CUAJ

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Section: Discussionmentioning

confidence: 99%

Case – Vas deferens injury after herniorrhaphy leading to epididymal blowout in a pediatric patient

White

MacNevin

Romao

et al. 2023

CUAJ

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“…This is shown by an extensive review published earlier this year. 29 With each study, we develop a more thorough, evidence-based algorithm to guide urologists in treatment of CSP.…”

Section: Future Directionmentioning

confidence: 99%

Gold Standard Care of Chronic Scrotal Pain

Malaguti¹,

Lund²

2021

RRU

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Introduction: Chronic scrotal pain (CSP) can be a debilitating condition for patients and is often difficult to characterize. Methods: A review of literature was performed using Embase, Cochrane and Medline databases in the period 1.January 2010 to 1.January 2021. We found 132 articles, and the authors screened abstract and references. Thirty-seven articles are included after removing duplicates. Results: This review presents a variety of medical and surgical treatment options for CSP such as spermatic cord blocks (36-80% success rate), microsurgical denervation of the spermatic cord (76-100% success rates), Botox (56% success rate), targeted ilioinguinal and iliohypogastric peripheral nerve stimulation, and radical orchiectomy (55-75% success rate). Conclusion: An overview of various treatment options, both non-surgical and surgical are provided, with the aim of establishing what may be the best treatment option for CSP.

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“… 19 , 20 Medical management may further include correcting any underlying conditions, such as torsion or infection, as well as providing medication or other interventions to manage pain, including nerve blocks and physical therapy. 9 , 21 , 22 In the event that pain is persistent and not responsive to traditional management techniques, the patient may be assessed for suitability for surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Chronic scrotal content pain: the experiences of patients undergoing microsurgical spermatic cord denervation

Banner,

Cassidy,

Appleby

et al. 2023

Therapeutic Advances in Urology

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Background: Chronic scrotal content pain, sometimes referred to as chronic orchialgia, is a common urological condition that gives rise to persistent and often severe painful stimuli to the scrotum and surrounding structures. Despite its relative commonality, accounting for over 2% of urological visits, chronic scrotal content pain is complex to manage and patients may be required to access multiple providers and undergo invasive procedures, including microsurgical spermatic cord denervation (MSCD) surgery. Objective: The objective of this study was to understand the experiences and perspectives of persons with chronic scrotal content pain and accessing MSCD surgery. Design: An exploratory qualitative design, guided by interpretive description and integrated knowledge translation, was adopted. Methods: We conducted in-depth qualitative interviews with six patients with chronic scrotal content pain who underwent MSCD surgery in a surgical center in Western Canada. Data were analyzed thematically. Results: Analysis of the study data resulted in three core themes: living with chronic scrotal content pain, quality of life, and MSCD procedure and outcomes. We highlight the debilitating nature of pain and the broad impacts upon health, quality of life, and social functioning. Participants described how MSCD surgery offered an effective solution for persistent and debilitating pain. For the participants, MSCD surgery offered hope and the chance to regain their normality. Conclusion: For those with chronic scrotal content pain, access to a pain specialist, along with the adoption of a biopsychosocial approach to pain and early access to MSCD surgery, may improve patient experiences and outcomes. Considering the high prevalence of urological pain, greater interdisciplinary care is needed in order to support more effective and timely management.

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Chronic Scrotal Content Pain: a Review of the Literature and Management Schemes

Cited by 6 publications

References 75 publications

Case – Vas deferens injury after herniorrhaphy leading to epididymal blowout in a pediatric patient

Case – Vas deferens injury after herniorrhaphy leading to epididymal blowout in a pediatric patient

Gold Standard Care of Chronic Scrotal Pain

Chronic scrotal content pain: the experiences of patients undergoing microsurgical spermatic cord denervation

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