PMID: 7542163Mar 1, 1995Paper

Management of chronic orchialgia of unknown etiology

International Journal of Urology : Official Journal of the Japanese Urological Association
M YamamotoK Miyake

Abstract

The treatment of patients with chronic unilateral or bilateral orchialgia, defined as intermittent or constant testicular pain of greater than 3 months and of unclear cause, is difficult. This pain significantly interferes with the daily activities of the patient. We have seen 12 patients with chronic orchialgia of unknown etiology and each had a normal history, physical examination and normal scrotal sonogram. Three patients were treated with nonsteroidal anti-inflammatory drugs and obtained partial pain relief. Three patients underwent spermatic cord nerve blockade using a combination of 1% lidocaine and 40 mg methylprednisolone and experienced partial pain relief. Four patients underwent inguinal orchiectomy after failing conservative management: three reported complete relief of pain, and the other partial relief. Two patients had bilateral transrectal injections of local anesthetic (5 ml bupivacaine) and methylprednisolone into the region of the pelvic plexus under transrectal ultrasound guidance. They were successfully treated with this injection technique. On the basis of our results, we recommend transrectal blockade of nerves from the pelvic plexus or inguinal orchiectomy as the procedure of choice for patients in whom...Continue Reading

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Citations

Mar 26, 2004·European Urology·P Granitsiotis, D Kirk
Mar 18, 2003·Urology·Steven P Cohen, Andrew Foster
Jun 21, 2002·European Urology·Axel HeidenreichUdo H Engelmann
Mar 17, 2010·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Dirk Michielsen, Rob Beerthuizen
Mar 24, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Saumya MisraCharles Coker
Nov 20, 2012·The Journal of Urology·Joel M H Teichman
Aug 1, 2009·The Urologic Clinics of North America·Christopher E Adams, Moshe Wald
Nov 3, 2009·ANZ Journal of Surgery·Matthew K-H HongSophie J L Adams
Mar 8, 2008·BJU International·Salil Tandon, Edmund Sabanegh
Mar 10, 2016·Asian Journal of Andrology·Wei Phin Tan, Laurence A Levine
Feb 14, 2013·American Journal of Men's Health·Susanne A Quallich, Cynthia Arslanian-Engoren
Jan 21, 2018·BJU International·Wei Phin TanLaurence A Levine
Dec 29, 2017·The World Journal of Men's Health·Wei Phin Tan, Laurence A Levine
Sep 13, 2018·Anatomical Science International·Yidan DaiShuang-Qin Yi
Jun 2, 2018·Current Urology Reports·Christopher Wu, Keith Jarvi

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