Spermatic Cord Denervation for Chronic Orchialgia
Purpose of Review
To review the surgical management of chronic scrotal content pain with microsurgical spermatic cord denervation (MSCD).
The data continues to support the use of MSCD for patients with chronic idiopathic scrotal content pain. The use of the robotic approach to this operation is novel but may still be cost-prohibitive and more studies are needed to prove equivalence to the standard microsurgical approach.
MSCD has evolved into a very effective treatment for a difficult patient population with few options. It should be considered surgical standard of care for men with persistent chronic scrotal content pain whose symptoms are temporarily resolved with a spermatic cord block.
KeywordsTestis pain Chronic orchialgia Scrotal content pain Microsurgery
Compliance with Ethical Standards
Conflict of Interest
Sarah C. Vij declares no potential conflicts of interest.
Daniel A. Shoskes reports personal fees from Farr Labs and Aquinox.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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