You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy1 Apr 2014PD20-08 MICROSURGICAL SPERMATIC CORD DENERVATION FOR CHRONIC SCROTAL CONTENT PAIN: RESULTS OF A MULTICENTER PROSPECTIVE STUDY Marcelo Marconi, Cristian Palma, Mauricio Olea, Thorsten Diemer, and Wolfgang Weidner Marcelo MarconiMarcelo Marconi More articles by this author , Cristian PalmaCristian Palma More articles by this author , Mauricio OleaMauricio Olea More articles by this author , Thorsten DiemerThorsten Diemer More articles by this author , and Wolfgang WeidnerWolfgang Weidner More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1698AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives Microsurgical Spermatic Cord Denervation (MSCD) has become a consented procedure for the treatment of Chronic Scrotal Content Pain (CSCP). Previous reports success rates range from 71% to 100%. Surgical approach can be either performed using a microscope or surgical loupes. Objective: To evaluate in a multicenter (1 Center in Germany, 3 in Chile) prospective series of 40 patients with CSCP, the results of MSCD, using either a loupe assisted approach (magnification 3.5x) or a surgical microscope (magnification 20x) Methods Forty patients with CTP were prospectively enrolled in the study. In order to be a candidate to MSCD all patients meet criteria for CSCP definition and had a positive response to a spermatic cord block test with bupivacaine and no response to a placebo injection (saline solution). Pain severity was measured using an Analog Visual Pain (AVS) scale for the last 30 days (Range 0 -10). The surgery was performed in an ambulatory basis, 13 patients were operated using surgical loupes and 27 using a microscope. Patients were controlled one week, three and six months after surgery with a color doppler ultrasound of the testis. Results A total of 43 testicular units were operated. The mean duration of surgery was 65 minutes (Range 50 – 95 minutes). No intraoperative complications were observed and all patients were operated in an ambulatory basis. No testicular units were lost and the color doppler ultrasound was normal in all cases. Three and six months after surgery 32 patients (80%) were pain free with no need of further oral analgesia. Eight patients (20%) persisted with intermittent testicular discomfort, six could be managed with on demand paracetamol, and two had no change in pain severity. No statistically significant differences were observed between patients operated using loupes or microscope regarding operation time and success rate. Conclusions Microsurgical spermatic cord denervation is a safe procedure with high success rate. The loupe assisted approach is comparable to the classical microscopic approach. © 2014FiguresReferencesRelatedDetailsCited byMarconi M, Palma C, Troncoso P, Dell Oro A, Diemer T and Weidner W (2018) Microsurgical Spermatic Cord Denervation as a Treatment for Chronic Scrotal Content Pain: A Multicenter Open Label TrialJournal of Urology, VOL. 194, NO. 5, (1323-1327), Online publication date: 1-Nov-2015. Volume 191Issue 4SApril 2014Page: e614 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Marcelo Marconi More articles by this author Cristian Palma More articles by this author Mauricio Olea More articles by this author Thorsten Diemer More articles by this author Wolfgang Weidner More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...