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Orchialgia

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https://www.readbyqxmd.com/read/28735684/micro-denervation-of-the-spermatic-cord-for-post-vasectomy-pain-management
#1
REVIEW
Wei Phin Tan, Laurence A Levine
INTRODUCTION: Post-vasectomy pain syndrome (PVPS) is a challenging problem for the practicing urologist because of its unclear pathophysiology and no clearly established protocol for evaluation or treatment. PVPS is defined as at least 3 months of chronic or intermittent scrotal content pain after a vasectomy procedure once other etiologies for the pain have been ruled out. AIM: To systematically review the current literature on the effectiveness of micro-denervation of the spermatic cord (MDSC) for PVPS...
July 20, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28725618/medical-management-of-chronic-orchialgia
#2
REVIEW
Nathan R Starke, Raymond A Costabile
Chronic idiopathic orchialgia is a urologic disease process that is as frustrating as it is common. While no consensus exists on management for otherwise-unexplained testicular pain, most providers would agree that once other treatable organic causes are ruled out, initial management should be symptom focused, and should be medical rather than surgical. This chapter presents a review of the evidence available for a variety of pharmacotherapies commonly employed in the treatment of idiopathic chronic orchialgia...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725616/chronic-orchialgia-epidemiology-diagnosis-and-evaluation
#3
REVIEW
John T Sigalos, Alexander W Pastuszak
Chronic orchialgia is a vexing condition defined as chronic or intermittent scrotal pain lasting at least three months that significantly interferes with daily activities. There are currently no guidelines regarding the diagnosis and management of this condition despite it being the cause of 2.5-4.8% of urologic clinic visits. Men often present with chronic orchialgia in their mid to late 30s, although the condition can present at any age. A broad differential diagnosis of chronic orchialgia includes epididymitis, testicular torsion, tumors, obstruction, varicocele, epididymal cysts, hydrocele, iatrogenic injury following vasectomy or hernia repair, and referred pain from a variety of sources including mid-ureteral stone, indirect inguinal hernia, aortic or common iliac artery aneurysms, lower back disorders, interstitial cystitis, and nerve entrapment due to perineural fibrosis; approximately 25-50% of chronic orchialgia is idiopathic in nature...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725613/psychological-perspectives-in-the-patient-with-chronic-orchialgia
#4
REVIEW
Fei Lian, Ankur Shah, Benjamin Mueller, Charles Welliver
Chronic orchialgia is a challenging problem to both the practitioner and unhappy patient and may be a poorly understood manifestation of a potential variety of different discrete causes. Treatment options can be wide ranging and include conservative measures, medical therapy, in office treatments and surgical procedures. Research has primarily focused on these more concrete treatment options with little focus on the either co-morbid or causative psychological issues. By at least considering the potential psychological co-morbidities and stressors that may be associated with chronic orchialgia, physicians can better utilize a multi-modal approach to this vexing problem...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725611/robot-assisted-microsurgery-for-chronic-orchialgia
#5
REVIEW
Parviz Kavoussi, Nahomy Calixte, Jamin Brahmbhatt, Sijo Parekattil
Chronic orchialgia is one of the most common complaints seen in the urologists office and has traditionally been considered a very difficult diagnostic and therapeutic challenge for the clinician. First line management of chronic orchialgia is conservative treatment; however, in men who fail conservative therapy, surgical intervention may be indicated. Microsurgery has been the mainstay for surgical treatment of chronic orchialgia, but the implementation of robotics to microsurgery lends itself particularly to surgical treatment of chronic orchialgia...
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725610/extirpative-surgery-for-chronic-orchialgia-is-there-a-role
#6
REVIEW
Gregory Lowe
Chronic orchialgia is a difficult and frustrating condition for both the patient and clinician. Determining appropriate course of therapy should require extensive conservative measures and consideration of alternative surgical options prior to concluding an orchiectomy is warranted. This manuscript aims to provide the clinician with the information currently available to determine if the anticipated success rate is warranted to consider extirpative surgery for idiopathic chronic orchialgia.
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28725609/chronic-orchialgia
#7
Ryan P Smith, Raymond A Costabile
No abstract text is available yet for this article.
May 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28540232/genital-pain-algorithm-for-management
#8
REVIEW
Nahomy Calixte, Jamin Brahmbhatt, Sijo Parekattil
Chronic testicular pain although becoming very common in our patient population poses a challenge to the physician, the patient and his family. The pathogenesis of chronic orchialgia (CO) is not well understood. The objective of this paper is to review the current literature on chronic testicular pain and its management and to propose an algorithm for its treatment. Abstracts, original papers and review articles were reviewed during a literature search using words such as testicular pain, CO, and microsurgical anatomy of spermatic cord...
April 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28067674/a-pathology-of-mesh-and-time-dysejaculation-sexual-pain-and-orchialgia-resulting-from-polypropylene-mesh-erosion-into-the-spermatic-cord
#9
Vladimir Iakovlev, Andreas Koch, Kevin Petersen, John Morrison, David Grischkan, Vali Oprea, Robert Bendavid
OBJECTIVE: The ubiquitous use of polypropylene mesh in hernia surgery has spawned a new clinical syndrome: chronic post-herniorrhaphy neuralgia. A subset of that clinical picture is dysejaculation, sexual pain, and orchialgia. We propose to identify the processes that lead to that pain. SUMMARY OF BACKGROUND DATA: Specimens of vas adherent to polypropylene mesh, explanted in an attempt to control severe, life-changing inguinodynia are extremely difficult to obtain...
January 6, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/27652237/dr-ryan-p-smith-management-of-chronic-orchialgia
#10
Lucine M Gao
No abstract text is available yet for this article.
August 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/27377834/the-clinical-findings-in-young-adults-with-acute-scrotal-pain
#11
Misgav Rottenstreich, Yuval Glick, Ofer Natan Gofrit
BACKGROUND: Acute scrotal pain (ASP) is a common symptom of young adults. Testicular torsion is the most important diagnosis in these cases. It is a medical emergency in which the diagnosis must be made rapidly to prevent testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. This study was conducted to examine the spectrum of diagnoses in young man with ASP in a prehospital setting, the frequency of significant diagnoses, and their outcomes...
October 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27321532/re-pediatric-chronic-orchialgia-patient-population-and-patterns-of-care
#12
Douglas A Canning
No abstract text is available yet for this article.
July 2016: Journal of Urology
https://www.readbyqxmd.com/read/27172656/-updated-diagnosis-and-management-of-chronic-orchialgia
#13
Xiang-an Tu, Jing-wei Yu
Chronic orchialgia (CO) is a common complaint in urology or andrology. Due to its complicated pathogenesis, the diagnosis and treatment of CO are quite challenging. Based on different etiologies, CO can be idiopathic or secondary. Idiopathic CO accounts for approximately 50% of the cases and is probably associated with Wallerian degeneration in the spermatic cord nerves and peripheral sensitization. Secondary CO can be attributed to direct causes and its treatment focuses on the pathologic condition identified...
March 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/27059628/prevalence-of-relative-deficiencies-in-testosterone-and-vitamin-b12-among-patients-referred-for-chronic-orchialgia-implications-for-management
#14
Tao Cui, Ryan Terlecki
Chronic testicular pain (CTP) is a complex pain syndrome that is widely variable in presentation and etiology. Many cases of CTP are thought to be associated with neuropathy and recent data suggest an inflammation-mediated process is more common among patients with CTP. Deficiencies in vitamin B12 and testosterone are common in chronic pain syndromes may play a role in CTP. A retrospective review of men treated for CTP by a single provider over a 2-year period was performed. Patients with serum screening of testosterone and B12 were selected...
April 8, 2016: American Journal of Men's Health
https://www.readbyqxmd.com/read/26941490/chronic-orchialgia-review-of-treatments-old-and-new
#15
REVIEW
Bayo Tojuola, Jeffrey Layman, Ibrahim Kartal, Ahmet Gudelogul, Jamin Brahmbhatt, Sijo Parekattil
INTRODUCTION: Chronic orchialgia is historically and currently a challenging disease to treat. It is a diagnostic and therapeutic challenge for physicians. Conservative therapy has served as the first line of treatment. For those who fail conservative therapy, surgical intervention may be required. We aim to provide a review of currently available surgical options and novel surgical treatment options. METHODS: A review of current literature was performed using PubMed...
January 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/26861965/sperm-retrieval-and-concomitant-tumor-resection-in-azoospermic-men-with-congenital-adrenal-hyperplasia-and-bilateral-testicular-adrenal-rest-tumors-a-case-report
#16
Parviz K Kavoussi, Roxanne B Summers-Colquitt, Kate C Odenwald, Megan Kressin, Keikhosrow M Kavoussi, Thomas B Pool, Shahryar K Kavoussi
PURPOSE: The objective of this study was to offer a new treatment approach for sperm retrieval simultaneously with tumor resection in azoospermic men with congenital adrenal hyperplasia (CAH), orchialgia, and bilateral testicular adrenal rest tumors (TARTs) who fail to respond to medical treatment. METHODS: This is a retrospective chart review from a couple's fertility center. RESULTS: Between May 2013 and May 2015, two azoospermic men with CAH and bilateral TARTs, with orchialgia, and desire to conceive underwent bilateral TART resection in the same surgical setting as sperm retrieval after remaining azoospermic with normalization of gonadotropins with treatment with human chorionic gonadotropin (hCG)...
April 2016: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/26736154/repair-of-large-sliding-inguinal-hernias
#17
REVIEW
Navdeep S Samra, David H Ballard, Darin F Doumite, F Dean Griffen
Sliding inguinal hernias are often unexpected intra-operative findings, and repair of which can be technically challenging. A number of repair techniques have been described. The author modified a technique based on an approach described by Bevan. The purpose of our study is to describe this modified Bevan technique for repair of sliding inguinal hernias and report its efficacy in a series of patients. We retrospectively reviewed all patients with open inguinal hernia repairs performed by a single surgeon from August 2007 to April 2013 for sliding indirect hernias using the modified Bevan technique...
December 2015: American Surgeon
https://www.readbyqxmd.com/read/26699954/re-prevention-of-orchialgia-after-left-sided-laparoscopic-donor-nephrectomy-a-prospective-study
#18
COMMENT
Jeffrey A Cadeddu
No abstract text is available yet for this article.
January 2016: Journal of Urology
https://www.readbyqxmd.com/read/26476053/successful-treatment-for-patients-with-chronic-orchialgia-following-inguinal-hernia-repair-by-means-of-meshoma-removal-orchiectomy-and-triple-neurectomy
#19
Masato Narita, Koki Moriyoshi, Keita Hanada, Ryo Matsusue, Hiroaki Hata, Takashi Yamaguchi, Tetsushi Otani, Iwao Ikai
INTRODUCTION: Orchialgia following inguinal hernia repair is rare complication and still challenging since there has been no established surgical treatment because of complexity of nerve innervation to the testicular area. Herein we report a case of postoperative orchialgia following Lichtenstein repair, which was successfully treated by mesh removal, orchiectomy and triple neurectomy. CASE PRESENTATION: A 65-year-old man was referred to our department because of chronic right orchialgia following Lichtenstein hernia repair...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26302140/orchialgia-presenting-with-lower-quadrant-pain-in-sitting
#20
LETTER
Shingo Suzuki, Yusuke Hirota, Kazutaka Noda, Yoshiyuki Ohira, Masatomi Ikusaka
No abstract text is available yet for this article.
December 2015: American Journal of Medicine
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