Testicular pain

Possible solutions:

Microsurgical denervation of the spermatic cord

Problem description

Long-term pain in the testicles or scrotum / orchialgia, testicular pain / is a common problem in men, which is characterized by intermittent or persistent pain in one or both testicles, or possibly the scrotum. Occurring for at least 3 months and having a negative impact on the daily life and physical and sexual activity of the individual.

Chronic testicular pain can develop as a result of inflammation, injury or surgery in the area / for example, after a vasectomy or hernia / groin surgery / . Pain felt in the scrotum or testicle area can also have a source from another organ. The cause may be kidney stones, prostate disease or diseases of the spinal cord, spine, which can irritate the nerve fibers innervating the scrotum or testicles. In many cases, it is not even possible to precisely define the source of the pain, in which case we speak of idiopathic testalgia. In young men with excesses in sexual activity, one can also speak of functional testalgia.

Every testicular pain should be diagnosed and treated. If the cause is known / testicular inflammation, testicular torsion, testicular injury or testicular tumor / its cause should be treated. In the case of idiopathic or functional testicular pain / when its cause is unknown or untreatable / conservative treatment should be attempted after a good 3 months. Conservative treatment includes physical rest, heat, appropriate or reduced sexual activity, wearing tight underwear and possible anti-inflammatory and analgesic medication / ibuprofen /.

If the pain persists despite these measures, a diagnostic blockade of the spermatic cord can be performed by injecting local anesthetics. If this blockade helps only temporarily or for a short time and the pain returns after the effect of local anesthetics has worn off, then microsurgical denervation of the spermatic cord can be performed. This is an operation in the system of one-day surgery, the aim of which is to cut the spermatic branches of the n. genitofemoralis and n. ilioinguinalis. The success rate of microsurgical denervation in the treatment of chronic testicular pain is high and reaches up to 90% efficiency. Its effect is the permanent elimination of testicular pain. In extreme cases, orchiectomy can be performed for chronic testicular pain in older men.

How can this problem be solved?

Microsurgical denervation of the spermatic cord – Which testicular pain is suitable for microsurgical denervation of the testicle? Microsurgical denervation of the spermatic cord is a suitable solution for chronic idiopathic testicular pain that could not be treated conservatively and lasts more than 3 months. This operation is performed after excluding other,…