Management of Chronic Testalgia by Microsurgical Testicular Denervation

Heidenreich, Axel; Olbert, P.; Engelmann, U.

doi:10.1016/s0302-2838(02)00023-4

Cited by 81 publications

(54 citation statements)

References 9 publications

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“…The pain is more likely to be unilateral and slightly more likely to be on the right side of the scrotum. Various and numerous conservative treatment measures have failed; he has seen on average 4.5 urologists (Heidenreich et al, 2002), has undergone 4.7 to 7.2 procedures (Costabile et al, 1991;Heidenreich et al, 2002), and has had 1.6 surgeries (Costabile et al, 1991).…”

Section: Discussionmentioning

confidence: 99%

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Chronic Testicular Pain in Adult Men

Quallich

Arslanian‐Engoren

2013

Am J Mens Health

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Past investigations of chronic testicular pain provide a sparse representation of the men with this condition and lack key details to aid our understanding of this important men's health condition. As a chronic pain syndrome, more research is necessary to understand the phenomenon of chronic testicular pain and the pain experience of these men. This integrative literature review provides a summary of the current state of the science of chronic testicular pain in men, identifies the gaps in our knowledge, and provides recommendations to address this knowledge gap.

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Section: Discussionmentioning

confidence: 99%

“…Men seek evaluation from multiple providers in an attempt to uncover an explanation and treatment for their CTP (Costabile, Hahn, & McLeod, 1991;de Oliveira et al, 2009;Heidenreich, Olbert, & Engelmann, 2002;Planken, Voorham-van der Zalm, Lycklama, Nijeholt, & Elzevier, 2010).…”

Section: Introductionmentioning

confidence: 99%

Chronic Testicular Pain in Adult Men

Quallich

Arslanian‐Engoren

2013

Am J Mens Health

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“…Heidenreich et al 25 reported outcomes of SCD for six patients with PVPS. The procedure involved coagulation (bipolar diathermy) and transection in areas adjacent to testicular artery, vas deferens and one or two lymphatic vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, optimal use of VR may be younger PVPS patients of shorter postvasectomy status who wish to recover fertility. 26 Spermatic cord denervation 2 Unknown 2 0 Levine et al 27 Spermatic cord denervation 7 1.4 7 0 Heidenreich et al 25 Spermatic cord denervation 6 2.83 6 0 Cadeddu et al 28 Laparoscopic testicular denervation 6 Unknown 6 0 a Nine patients were pain-free and four patients experienced partial pain relief.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of vasectomy reversal according to patency for the surgical treatment of postvasectomy pain syndrome

et al. 2012

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This study was conducted to assess outcomes (according to patency) of vasectomy reversal (VR) in qualified patients with postvasectomy pain syndrome (PVPS). A total of 32 patients with PVPS undergoing VR between January 2000 and May 2010 were examined retrospectively. Of these, 68.8% (22/32) completed a study questionnaire, either onsite at the outpatient clinic or via telephone interview. Preoperative clinical findings, preoperative and postoperative visual analogue scale (VAS) pain scores, patency and pregnancy rate and overall patient satisfaction were analyzed. For the latter, a four-point rating of (1) cure, (2) improvement, (3) no change or (4) recurrence was used. The mean age was 45.09±4.42 years and the mean period of follow-up was 3.22 years (0.74--7.41). Patency rates were 68.2% (15/22) and pregnancy rates were 36.4% (8/22). The mean VAS was 6.64 ± 1.00 preoperatively and 1.14 ± 0.71 postoperatively (Po0.001). The difference in the mean preoperative and postoperative VAS was 6.00±1.25 (4--8) in the patency group and 4.43±0.98 (3--6) in the no patency group (P ¼ 0.011). A significant difference in procedural satisfaction with surgical outcome was observed between patency and no patency groups (P ¼ 0.014). In conclusion, in PVPS patients requiring VR, a significant difference was observed between the patency and no patency groups in terms of pain reduction and the degree of patient procedural satisfaction.

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“…Over the last 2 decades, articles have been published supporting this technique, its efficacy, and its safety in the management of chronic orchialgia. [6][7][8][9][10] The goal of MSCD is to transect, disrupt, and separate all spermatic cord structures that carry neural elements. MSCD also preserves arterial inflow to the testicle and several veins and lymphatics to prevent postoperative testicular congestion and hydrocele formation.…”

Section: Introductionmentioning

confidence: 99%

Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre

Cassidy

2015

CUAJ

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Introduction: Microsurgical spermatic cord denervation (MSCD) is an effective surgical technique to manage chronic orchalgia, but it has not been readily adopted by Canadian urosurgeons. This paper reviews the early experience of a single urosurgeon in Canada. Methods: Nine consecutive testicular units underwent MSCD over a 24 month period. These patients underwent MSCD after ruling out reversible causes and after a successful diagnostic spermatic cord block. Results: Of these patients, 77% (7/9) had a complete resolution and 22% (2/9) had a partial resolution of their pain symptoms following MSCD. There were no failures or complications. Conclusions: MSCD is an effective, safe, and reproducible surgical technique that should be included in the treatment armamentarium for chronic orchalgia.

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Management of Chronic Testalgia by Microsurgical Testicular Denervation

Cited by 81 publications

References 9 publications

Chronic Testicular Pain in Adult Men

Chronic Testicular Pain in Adult Men

Efficacy of vasectomy reversal according to patency for the surgical treatment of postvasectomy pain syndrome

Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre

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