Testicular denervation. A new surgical procedure for intractable testicular pain.
Chronic testicular pain has many different aetiologies. Identification and treatment of an underlying problem resolve the issue in most cases. However, a proportion of patients with chronic testicular pain have no demonstrable aetiological factor and pose a difficult treatment problem. All of these patients are initially treated by non-surgical measures. Various operations advocated in the literature for non-responders include epididymectomy, scrotal orchiectomy and inguinal orchiectomy, all of which have a significant failure rate. We describe a hitherto unreported operative procedure in a series of 4 patients, with immediate and lasting relief of their pain.
Choa
R G
RG
Department of Urology, Derriford Hospital, Plymouth.
Swami
K S
KS
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003714:Denervation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D010148:Intractable Pain / Q000601:surgery*; D012611:Scrotum / Q000294:innervation / Q000601:surgery; D013733:Testicular Diseases / Q000601:surgery*; D013737:Testis / Q000294:innervation*