Role of orchiectomy in severe testicular pain after inguinal hernia surgery: audit of the Finnish Patient Insurance Centre

Rönkä, Kirsi; Vironen, Jaana; Kokki, Hannu; Liukkonen, Tapani; Paajanen, Hannu

doi:10.1007/s10029-013-1150-3

Cited by 18 publications

(7 citation statements)

References 21 publications

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“…From the database of the Finnish Patient Insurance Center, Ronka et al analyzed all the urological complications related to inguinal hernia repair. In that study, 17 of the 34 patients with chronic orchialgia caused by an ischemic or atrophic testis underwent orchiectomy; however, 24% of these patients continued to have severe orchialgia after orchiectomy [5] . These findings suggest that in some cases, orchiectomy alone may not be sufficient to address orchialgia.…”

Section: Discussionmentioning

confidence: 95%

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Narita

Moriyoshi

Hanada

et al. 2015

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 95%

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Narita

Moriyoshi

Hanada

et al. 2015

International Journal of Surgery Case Reports

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“…Testicular dysfunction, atrophy and necrosis as a result of ischemic orchitis is a well-known complication after anterior inguinal hernia repair with 1% occurrence following primary herniorrhaphy and 5% in recurrent cases[ 29 30 31 ] but in open preperitoneal repair, the procedure is safe as it effectively eliminates testicular complications. [ 1 ] Laparoscopic repair seems favorable in terms of better preservation of testicular functions.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: A randomized trial

2015

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INTRODUCTION:The repair of the recurrent hernia is a daunting task because of already weakened tissues and distorted anatomy. Open posterior preperitoneal approach gives results far superior to those of the anterior approach. Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an evolving technique associated with advantages of a minimally invasive approach. The present work aimed at comparing these three approaches for repair of recurrent inguinal hernia regarding complications and early recurrence.MATERIALS AND METHODS:A total of 180 patients were divided randomly into three equal groups: A, B, and C. Group A patients were subjected to open posterior preperitoneal approach , those of group B were subjected to transinguinal anterior tension-free repair and group C patients were subjected to TAPP. The primary end point was recurrence and the secondary end points were time off from work, postoperative pain, scrotal swelling, and wound infections.RESULTS:The mean hospital stay, the mean time to return to work and the mean time off from work were less in group C then A and B. Chronic postoperative pain was observed in eight patients in group A (13.33%), in 18 patients in group B (30%) and six patients in group C (10%). The overall complication rate was 19.7% in both groups A and C and 34.36% in group B.CONCLUSION:In recurrent inguinal hernia, the laparoscopic and open posterior approaches are equally effective in term of operative outcome. The open preperitoneal hernia repair is inexpensive, has a low recurrence rate. Postoperative recovery is short and postoperative pain is minimal. This approach gives results far superior to those of the commonly used anterior approach. However, while laparoscopic hernia repair requires a lengthy learning curve and is difficult to learn and perform, it has advantages of less post-operative pain, early recovery with minimal hospital stay, low post-operative complications and recurrence.Trial RegistrationACTRN12613001050741

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“…Although both orchiectomy and epididymectomy have been historically described as options for addressing CSCP, their success is variable with rates ranging from 20–70% (2,32,33). As such, most consider these to be treatments of last resort ( Figure 1 ).…”

Section: Medical Managementmentioning

confidence: 99%

Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade

Tatem

Kovac²

2017

Transl. Androl. Urol.

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Every practicing urologist encounters patients complaining of chronic scrotal content pain (CSCP). This condition can be equally frustrating for both patients and clinicians as there are no clear treatment guidelines, or pathways, for urologists to follow. As a result, most patients typically seek out multiple providers without improvements in their symptoms. Fortunately, microsurgical spermatic cord denervation (MSCD) is becoming an accepted, reliable and reproducible technique for definitively addressing CSCP in select patients. This manuscript reviews the background, effectiveness and current practice guidelines for scrotal pain in general, and MSCD in particular. Technical insights into how this technique can be performed both safely, and efficaciously, are provided. Finally, the manuscript presents a simple, yet detailed, easy to follow treatment algorithm to aid all urologists in the management of patients presenting with chronic pain.

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Role of orchiectomy in severe testicular pain after inguinal hernia surgery: audit of the Finnish Patient Insurance Centre

Abstract: Urological injuries form one-fifth of the major complications after inguinal hernioplasty. Orchiectomy appears to help the majority of patients with severe testicular pain syndrome.

Cited by 18 publications

References 21 publications

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy

Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: A randomized trial

Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade

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