Urol. praxi. 2018;19(2):64-67 | DOI: 10.36290/uro.2018.058
Syndrome of chronic scrotal pain (part one)
- Bratislava
Idiopathic scrotal pain syndrome (SPS) is defined as at least 3 months of chronic or intermittent scrotal content pain. SPS remainsone of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinicianas there is no well – recognized diagnostic regimen or reliable effective treatment. Many of these patients will end up seeingphysicians across many disciplines, further frustrating them. The etiology of SPS is not clearly delineated. Expected mechanismsinclude damage to the scrotal and spermatic cord nerve structures via inflammatory effects of the immune system, back pressureeffects in the obstructed vas and epididymis, vascular stasis, perineural fibrosis, etc. This article reviews the current understandingof SPS, theories behind its pathophysiology, diagnostic evaluation pathways. SPS is a "diagnosis of exclusion" and thereforedifferential diagnosis excluding another, especially local pathology is extremely important.
Keywords: scrotal pain syndrome, etiopathophysiology, diagnosis
Published: May 1, 2018 Show citation
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