Microsurgical testicular denervation for the treatment of chronic testicular pain initial results
Clinics
;
64(5): 393-396, 2009. ilus, tab
Article
in English
| LILACS
| ID: lil-514739
ABSTRACT
INTRODUCTION:
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 percent of patients showed complete remission and 20 percent exhibited partial relief from pain.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pain
/
Spermatic Cord
/
Testicular Diseases
/
Denervation
/
Microsurgery
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2009
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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