Microsurgical denervation of the spermatic cord for treatment of idiopathic chronic orchialgia  

作　　者：TU Xiang-an GAO Yong ZHANG Ya-dong ZHUANG Jin-tao ZHAO Ji-quan ZHAO Liang-yun ZHAO Liang SUN Xiang-zhou QIU Shao-peng DENG Chun-hua 

机构地区：[1]Department of Urology The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China [2]Reproductive Medicine Centre The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China

出　　处：《Chinese Medical Journal》2012年第15期2784-2786,共3页中华医学杂志（英文版）

基　　金：This study was supported by the grants from tlae National b]atural Science Foundation of China （No. 30901487, No. 81070488 and No. 81172432）, the Guangdong Natural Science Foundation （No. 9151802904000002）, and the Guangdong Provincial Ministry of Cooperation Project （No. 2011 B090400034）.

摘　　要：A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block three times. Microsurgical denervation of the left spermatic cord was operated in March, 2011. A pain questionnaire was used to determine efficacy before and after operation, and complete pain relief was noted at one week after operation. The follow up period was 12 months, at the end of which the pain score was still zero. No complications, including testicular atrophy and hydrocele, occurred. Microsurgical denervation of the spermatic cord can be a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block three times. Microsurgical denervation of the left spermatic cord was operated in March, 2011. A pain questionnaire was used to determine efficacy before and after operation, and complete pain relief was noted at one week after operation. The follow up period was 12 months, at the end of which the pain score was still zero. No complications, including testicular atrophy and hydrocele, occurred. Microsurgical denervation of the spermatic cord can be a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.

关 键 词：TESTIS PAIN spermatic cord  denervation 

分 类 号：R699[医药卫生—泌尿科学]