Microsurgical denervation of the spermatic cord for treatment of idiopathic chronic orchialgia

A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after u...

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Bibliographic Details
Published inChinese medical journal Vol. 125; no. 15; pp. 2784 - 2786
Main Authors Tu, Xiang-An, Gao, Yong, Zhang, Ya-Dong, Zhuang, Jin-Tao, Zhao, Ji-Quan, Zhao, Liang-Yun, Zhao, Liang, Sun, Xiang-Zhou, Qiu, Shao-Peng, Deng, Chun-Hua
Format Journal Article
LanguageEnglish
Published China 05.08.2012
Subjects
Denervation - methods
Humans
Male
Middle Aged
Spermatic Cord - surgery
Testicular Diseases - surgery
保守治疗
并发症
慢性
显微操作
疼痛
磁共振成像
神经损伤
神经支配
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Summary:A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block three times. Microsurgical denervation of the left spermatic cord was operated in March, 2011. A pain questionnaire was used to determine efficacy before and after operation, and complete pain relief was noted at one week after operation. The follow up period was 12 months, at the end of which the pain score was still zero. No complications, including testicular atrophy and hydrocele, occurred. Microsurgical denervation of the spermatic cord can be a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.
Bibliography:testis; pain; spermatic cord, denervation
11-2154/R
A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block three times. Microsurgical denervation of the left spermatic cord was operated in March, 2011. A pain questionnaire was used to determine efficacy before and after operation, and complete pain relief was noted at one week after operation. The follow up period was 12 months, at the end of which the pain score was still zero. No complications, including testicular atrophy and hydrocele, occurred. Microsurgical denervation of the spermatic cord can be a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0366-6999
2542-5641
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.2012.14.027