title: Microsurgical testicular denervation for the treatment of chronic testicular pain initial results.
abstract: BACKGROUND
  Chronic testicular pain remains an important challenge for urologists. Currently, the treatment plan is primarily empirical, with the first approach consisting of clinical measures. However, some patients remain in pain despite a conservative treatment protocol and, for them, it is possible to perform a surgical procedure that involves severing the scrotal and spermatic branches of the genitofemoral and ilioinguinal nerve fibers.
  
  
  METHODS
  In our institution, 60 patients were evaluated and treated for idiopathic chronic testicular pain between January 2003 and July 2007. Priority was give to clinical treatment, which evolved from simple to more complex measures. Microsurgical treatment was performed on those who experienced no considerable pain relief (10 individuals in our study).
  
  
  RESULTS
  Over a twenty-four-month follow-up period, 70% of patients showed complete remission and 20% exhibited partial relief from pain.
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Rafael Garcia de
authors.initials: RG
authors.lastname: Oliveira
authors.forename: Cesar
authors.initials: C
authors.lastname: Camara
authors.forename: João de Magalhães Avancini Ferreira
authors.initials: Jde M
authors.lastname: Alves
authors.forename: Rafael Ferreira
authors.initials: RF
authors.lastname: Coelho
authors.forename: Antonio Marmo
authors.initials: AM
authors.lastname: Lucon
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003714:Denervation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D010146:Pain / Q000601:surgery*; D012074:Remission Induction; D013085:Spermatic Cord / Q000294:innervation* / Q000601:surgery; D013733:Testicular Diseases / Q000601:surgery*; D055815:Young Adult