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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
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
Lucine M Gao
No abstract text is available yet for this article.
August 2016: Translational Andrology and Urology
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
Douglas A Canning
No abstract text is available yet for this article.
July 2016: Journal of Urology
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
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
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
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
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
Jeffrey A Cadeddu
No abstract text is available yet for this article.
January 2016: Journal of Urology
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
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
C B Ching, S R Hays, T R Luckett, M D Mason, D B Clayton, S T Tanaka, J C Thomas, M C Adams, J W Brock, J C Pope
INTRODUCTION: Idiopathic testicular/groin pain can be a difficult entity for children, their families, and caregivers. The role of interdisciplinary pain management has previously been demonstrated in treating chronic orchialgia at the present pediatric pain clinic. OBJECTIVE: To evaluate the role of interdisciplinary pain management in managing refractory orchialgia. It was hypothesized that children with refractory orchialgia might respond well. Interdisciplinary care was defined as that which crosses two medical disciplines such as a surgical specialty and specialist in analgesia...
June 2015: Journal of Pediatric Urology
Chirag G Gordhan, Hossein Sadeghi-Nejad
Scrotal pain is a common complaint in a urological practice. Its diagnosis can prove challenging in both acute and chronic forms and requires a thorough and complete history and physical examination. This article discusses the evaluation and management of several entities of scrotal pain, including testicular torsion, epididymitis, postvasectomy pain, varicocele, and chronic orchialgia.
January 2015: Korean Journal of Urology
Bobby B Najari, Brian D Robinson, Stephen A Paget, Darius A Paduch
No abstract text is available yet for this article.
October 2014: Urology
Christina B Ching, Stephen R Hays, Samuel D Kaffenberger, Heidi A Stephany, Twila R Luckett, Douglass B Clayton, Stacy T Tanaka, John C Thomas, Mark C Adams, John W Brock, John C Pope
OBJECTIVE: A major hurdle in management of any chronic pain syndrome is understanding the population in which it occurs. We describe our pediatric population of patients with peripubertal and postpubertal chronic orchialgia. PATIENTS AND METHODS: Pediatric patients ≥ 10 years of age seen between 2002 and 2012 were identified by ICD code 608.9, Male Genital Disorder NOS. Patients were included if they had orchialgia without identifiable cause lasting >3 months...
October 2014: Journal of Pediatric Urology
Susanne A Quallich, Cynthia Arslanian-Engoren
AIMS: To conduct an analysis of the concept of chronic unexplained orchialgia. BACKGROUND: Chronic unexplained orchialgia is a concept unique to men's health; however, clarity is lacking regarding the precise meaning of the key attributes of this important concept. DESIGN: Walker and Avant's framework was used to guide this concept analysis. DATA SOURCES: Literature sources included bibliographic databases. REVIEW METHODS: Literature published in English from January 1970 to December 31, 2012 was reviewed...
August 2014: Journal of Advanced Nursing
G Lopez-Fontana, R Lopez-Fontana, P Valdemoros, F Passardi, J D Lopez Laur, C Maurin
OBJECTIVE: To report our experience in 13 cases with nonpalpable testicular tumors and review the literature. MATERIAL AND METHODS: From 1998 to 2012, 13 patients were diagnosed with nonpalpable testicular tumors. The data base was performed prospectively, and analyzed retrospectively. We evaluated demographic data, clinical presentation, ultrasound tumor features, tumor markers, frozen and final histopathological findings. All patients were also evaluated with serum tumor markers and the surgical approach was inguinal...
January 2014: Progrès en Urologie
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