Abstract
Chronic scrotal content pain (CSCP) is a commonly encountered and potentially debilitating urologic condition characterized by pain or discomfort localized to the scrotum which has been present for a minimum of three months and interferes with daily activity. The diagnostic utility of spermatic cord block (SCB) in the evaluation of CSCP has been demonstrated; however, the therapeutic potential of SCB or a series of cord blocks as an alternative to microdenervation of the spermatic cord (MDSC) remains less clear, although there are reports in the literature that describe durable pain relief after SCB or a series of cord blocks with various combinations of local anesthetic, steroid, or other agents, such as onabotulinum toxin A.
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