Microsurgical denervation of the spermatic cord: a surgical alternative in the treatment of chronic orchialgia

The Journal of Urology
Laurence A LevineT R Lubenow

Abstract

We demonstrated effective treatment of chronic orchialgia by microsurgical denervation of the spermatic cord. Seven men with a history of chronic orchialgia (mean duration 16.6 months) underwent this surgical procedure after conservative treatment failed. A bupivacaine spermatic cord block resulted in temporary pain relief. There was an excellent correlation between the response to preoperative temporary cord nerve block and the surgical result. Six men had complete and permanent pain relief after surgery. One patient with bilateral orchialgia had complete unilateral relief and partial relief on the contralateral side. There was no complaint of postoperative regional hypoesthesia. Microsurgical denervation of the spermatic cord is an effective testicular sparing surgical alternative for the treatment of chronic orchialgia.

References

Sep 1, 1992·Journal of Clinical Anesthesia·P P Raj
Dec 1, 1991·The Journal of Urology·R A CostabileD G McLeod
Jan 1, 1991·Journal of the American Psychoanalytic Association·L Rangell
May 1, 1990·The Journal of Urology·B E DavisW K Mebust
May 1, 1987·Archives of Neurology·R J Schwartzman, T L McLellan
May 1, 1987·Orthopaedic Nursing·M E Greipp, A F Thomas

❮ Previous
Next ❯

Citations

May 7, 2013·World Journal of Urology·Parviz K Kavoussi, Raymond A Costabile
Sep 18, 2008·Pediatric Surgery International·Nicola ZampieriFrancesco Saverio Camoglio
Jun 21, 2002·European Urology·Axel HeidenreichUdo H Engelmann
Jul 27, 2011·Therapeutic Advances in Urology·Laurence Levine
Mar 5, 2016·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Bayo TojuolaSijo Parekattil
Apr 24, 2015·Current Urology Reports·Laurence A Levine, Michael P Hoeh
Mar 10, 2016·Asian Journal of Andrology·Wei Phin Tan, Laurence A Levine
Jun 5, 2016·The Surgical Clinics of North America·Gabriel V Belanger, Graham T VerLee
Feb 14, 2013·American Journal of Men's Health·Susanne A Quallich, Cynthia Arslanian-Engoren
Mar 6, 2010·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Bulent AltunolukOnder Malkoc
Jan 21, 2018·BJU International·Wei Phin TanLaurence A Levine
May 1, 2012·Current Urology·Mohamed E Abd EllatifAhmed Moatamed
Dec 29, 2017·The World Journal of Men's Health·Wei Phin Tan, Laurence A Levine
May 10, 2013·The World Journal of Men's Health·Yeon Won Park, Jun Ho Lee
Apr 17, 2019·Panminerva Medica·Chak-Lam ChoAshok Agarwal
Nov 22, 2014·Plastic and Reconstructive Surgery·A Lee DellonTim H Tollstrupt
Feb 27, 2003·BJU International·M Masarani, R Cox
Aug 6, 2020·Research and Reports in Urology·Sijo J ParekattilAhmet Gudeloglu
Jan 30, 2021·The Journal of the American Osteopathic Association·Michael A GoeddeKellen B Choi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Urology : Official Journal of the Japanese Urological Association
M YamamotoK Miyake
© 2021 Meta ULC. All rights reserved