Abstract
Chronic testicular pain can be idiopathic or as a consequence of injury, infection or surgical Interventions. It can manifest as intermittent or constant, dull or throbbing pain which can radiate to the ipsilateral inner thigh and the perineum. It can be spontaneous or exacerbated by physical activity and local pressure. It is usually associated with depression, reduced libido, and sexual dysfunction. It has a detrimental effect on patients’ quality of life ( 1. Granitsiotis P Kirk D. Chronic testicular pain: an overview. Eur Urol. 2004; 45: 430-436 Abstract Full Text Full Text PDF PubMed Scopus (92) Google Scholar ). Nerve blocks, pulsed radiofrequency, as well as dorsal column spinal cord stimulation (SCS) have been described for the treatment of chronic testicular pain. Surgical interventions include microsurgical denervation of the spermatic cord, epididymectomy in selected cases and orchiectomy which has also been described and is currently considered as a last treatment resort ( 2. Cassidy DJ. Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre. Can Urol Assoc J. 2015; 9: e72-e74 Crossref PubMed Scopus (13) Google Scholar ).
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