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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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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Abstract 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.
AbstractList 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.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.
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.
Author 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
AuthorAffiliation Department of Urology The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China Reproductive Medicine Centre The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China
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Notes testis; pain; spermatic cord, denervation
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SubjectTerms 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
Title Microsurgical denervation of the spermatic cord for treatment of idiopathic chronic orchialgia
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Volume 125
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