Urol. praxi. 2018;19(3):106-110 | DOI: 10.36290/uro.2018.067

Syndrome of chronic scrotal pain (part two)

doc. MUDr. Jozef Marenčák, PhD.
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 etiolopathogenesis of SPS is not clearly delineated. SPS is a "diagnosisof exclusion" and therefore differential diagnosis excluding another, especially local pathology is extremely important.This article reviews the current treatment options.

Keywords: scrotal pain syndrome, therapy

Published: July 1, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Marenčák J. Syndrome of chronic scrotal pain (part two). Urol. praxi. 2018;19(3):106-110. doi: 10.36290/uro.2018.067.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Engeler D, Messelink E, Baranowski A, et al. Chronic pelvic pain. In: EAU guidelines on chronic pelvic pain. European Association of Urology, Arnhem 2017; ISBN/ EAN 978-90-79754-91-5: 1-71.
    2. Engeler D, Baranowski A, Borovicka J, et al. EAU guidelines on chronic pelvic pain (Limited text update March 2017). EAU pocket guidelines, European Association of Urology, Arnhem 2017; ISBN/ EAN 978-90-79754-97-7: 352-374.
    3. Nickel J. Inflammatory and pain conditions of the male genitourinary tract: other inflammatory and pain conditions of lower urinary tract (orchitis, and epididymitis). In: Wein A, Kavoussi L, Partin A, et al. Campbell - Walsh Urology, 11th edition, Saunders Elsevier 2016; ISBN 978-0-323-34148-6: 329-333.
    4. Singh V, Sinha J. Idiopathic chronic orchialgia - a frustrating issue for the clinician and the patient. Indian J Surg, 2008; 70(5-6): 107-1010. Go to original source... Go to PubMed...
    5. Tojuola B, Layman J, Kartal I, et al. Chronic orchialgia: Review of treatments old and new. Indian J Urol 2016; 32: 21-26. Go to original source... Go to PubMed...
    6. Calixte N, Brahmbhatt J, Parekattil S. Genital pain: algorithm for management. Transl Androl Urol 2017; 6(2): 252-257. Go to original source... Go to PubMed...
    7. Tan W, Levine L. An overview of the management of post - vasectomy pain syndrome. AJA 2016; 18(2): 332-337. Go to original source... Go to PubMed...
    8. Gordhan Ch, Sadeghi - Nejad H. Scrotal pain: evaluation and management. Korean J Urol 2015; 56(1): 3-11. Go to original source... Go to PubMed...
    9. Cassidy D. Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre. Can Urol Assoc J 2015; 9(1-2): e72-74. Go to original source... Go to PubMed...
    10. Kastler A, Aubry S, Barbier-Brion B, et al. Radiofrequency neurolysis in the management of inguinal neuralgia: preliminary study. Radiology 2012; 262(2): 701-707. Go to original source... Go to PubMed...
    11. Benson J, Abern M, Larsen S, et al. Does a positive response to spermatic cord block predict response to microdenervation of the spermatic cord for chronic scrotal content pain? J Sex Med 2013; 10(3): 876-882. Go to original source... Go to PubMed...
    12. Oomen R, Witjens A, van Wijck A, et al. Prospective double-blind preoperative pain clinic screening before microsurgical denervation of the spermatic cord in patients with testicular pain syndrome. Pain 2014; 155(9): 1720-1726. Go to original source... Go to PubMed...
    13. Calixte N, Tojuola B, Kartal I, et al. Salvage Ultrasound Guided Targeted Microcryoablation of the peri-spermatic cord for persistent Chronic Scrotal Content Pain after microsurgical denervation of the spermatic cord. Available online: http://sesaua.org/docs/meetings/ses1703/2017-program-book.aspx
    14. Tojuola B, Kartal I, Brahmbhatt J, et al. SCROTOX: salvage peri - spermatic cord botulinum-A toxin injections for patients with refractory chronic scrotal content pain after microsurgical denervation of the spermatic cord. J Urol 2015; 193: e905. Go to original source...
    15. Levine L, Hoeh M. Evaluation and management of chronic scrotal content pain. Curr Urol Rep 2015; 16(6): 1-8. Go to original source... Go to PubMed...

    Return to the content


    Urology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.