Chronic Testicular and Groin Pain: Pathway to Relief
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The management of patients suffering with chronic testicular and groin pain is very challenging. With increased awareness of men’s health, more patients and clinicians are open to talk about this complex problem that affects over 100,000 men/year. The pathogenesis of chronic orchialgia is still not clear, but there are several postulated theories. Treatment options include conservative medical therapy with NSAIDs, antidepressants, anticonvulsants, and narcotics. Surgical options such as targeted microsurgical denervation and microcryoablation can provide permanent durable pain relief. The goal of this article is to review and discuss the management of patients with chronic orchialgia using currently available literature.
KeywordsChronic orchialgia Testicular pain Microsurgical denervation of spermatic cord Orchiectomy Chronic scrotal content pain Wallerian degeneration
Conception and design: Dr. Brahmbhatt.
Administrative Support: Dr. Parekattil and Dr. Brahmbhatt.
Provision of study material or patients: Dr. Parekattil and Dr. Brahmbhatt.
Collection and assembly of data: Dr. Calixte.
Data analysis and interpretation: Dr. Brahmbhatt and Dr. Calixte.
Manuscript writing: all authors.
Final approval of manuscript: all authors.
Compliance with Ethical Standards
Conflict of Interest
Nahomy Calixte, Jamin Brahmbhatt, and Sijo Parekattil each declare no potential conflicts of interest.
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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