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Mahmut Taha Ölçücü, Nazlı Ölçücü, Erkan Ölçücüoğlu, Esin Ata Ölçücüoğlu, Yaşar Özgök
Tubular ectasia of rete testis (TERT) is a rarely seen benign condition of testis which can cause chronic orchalgia. TERT appears as an anechoic lesion in ultrasonography. However magnetic resonance imaging is a more sophisticated diagnostic tool. TERT is commonly associated with epididymal cysts. Generally a conservative treatment approach is preferred. In some cases surgery is required. In our case, 54-year-old male patient had bilateral TERT associated with bilateral multiple epididymal cysts. He had chronic testicular pain which did not respond to first- line conservative treatments...
May 2018: Turkish Journal of Urology
Douglas A Canning
No abstract text is available yet for this article.
September 2017: Journal of Urology
Meng Huang, Virendra R Desai, David Ho, Richard K Simpson
Spinal cord stimulation is an effective adjunct to the treatment of a variety of chronic pain syndromes. Complications are relatively low in morbidity and are most often secondary to hardware malfunction/malposition. Infection and undesired dysesthesias represent only a minority of complications. Neuropathic orchalgia and scrotalgia after placement of epidural spinal cord stimulator is a previously unreported morbidity. While alarming, this condition is physiologically benign, causing no neurological or urological dysfunction...
January 30, 2017: Curēus
Jodi Hart, Gianna Pastore, Matthew Jones, Andrew Barker, Japinder Khosa, Naeem Samnakay
OBJECTIVES: The aim was to review the pediatric cohort undergoing surgical exploration for acute scrotal pain at our institution and assess the entity of chronic orchalgia post exploration in this cohort. MATERIALS AND METHODS: A retrospective review of all pediatric patients who underwent surgery for acute scrotal pain at a single institution between 1 January 2001 and 1 January 2012 was conducted. RESULTS: A total of 1084 patients underwent scrotal exploration for acute scrotal pain where the underlying cause could not be clinically ascertained...
June 2016: Journal of Pediatric Urology
David W Muthuveloe, Vinnie During, Daniel Ashdown, Nicholas J Rukin, Rob G Jones, Prashant Patel
[This corrects the article DOI: 10.1186/s40064-015-1177-2.].
2015: SpringerPlus
David W Muthuveloe, Vinnie During, Daniel Ashdown, Nicholas J Rukin, Rob G Jones, Prashant Patel
PURPOSE: Orchalgia is a common problem with varicoceles however the association between varicocele embolisation for the treatment of varicocele related pain has not been widely investigated. We aim to investigate the effectiveness of varicocele embolisation for the treatment of orchalgia secondary to varicoceles; and to see if pre-embolisation pain scores can be used to predict treatment outcomes. METHODS: A prospectively collected database of patients undergoing varicocele embolisation for pain was analysed over a 10-year period...
2015: SpringerPlus
Joseph Sterbis, Toritsetimiyin E-Nunu
A man in his 20's with Klinefelter syndrome presented to the urology clinic with a recent history of left-sided orchalgia. Ultrasound evaluation demonstrated multiple small hypoechoic lesions bilaterally, with the largest lesion measured at 5 mm × 6 mm × 8 mm. Testis cancer tumour markers, chest radiographs and abdominal CT imaging were negative. A partial orchiectomy was performed on the largest lesion, demonstrating the presence of Leydig cell hyperplasia.
July 24, 2015: BMJ Case Reports
Abdullah Sulieman Terkawi, Kamel Romdhane
Chronic orchalgia is a frustrating clinical problem for both the patient and the physician. We present a 17-year-old boy with a bilateral idiopathic chronic intractable orchalgia with failed conservative treatment. For 2 years, he suffered from severe attacks of scrotal pain that affected his daily activities and caused frequent absence from school. Ultrasound-guided pulsed radiofrequency ablation (PRF) of the genital branches of the genitofemoral nerve performed after local anesthetic nerve block confirmed the diagnosis and yielded 6 weeks of symptom relief...
April 2014: Saudi Journal of Anaesthesia
Ofer Yossepowitch, Yaron Ehrlich, Marc Lubin, Raanan Tal, Miriam Konichezsky, Jack Baniel
INTRODUCTION: We assessed clinical-pathological correlates of lymphovascular invasion in testicular germ-cell tumors. MATERIAL AND METHODS: Archived pathology specimens from 145 patients treated by radical orchiectomy for testicular germ cell tumors at our institution in 1995-2006 were reanalyzed by a dedicated urologic pathologist, and the corresponding medical records were reviewed. The association of lymphovascular invasion with clinical and pathological parameters was tested using stepwise logistic regression analysis...
2013: Central European Journal of Urology
Nathan Y Hoy, Adam Kinnaird, Keith F Rourke
OBJECTIVE: To evaluate the results of a dorsal onlay augmented anastomosis using buccal mucosa to reconstruct long segment bulbar urethral strictures. The ideal treatment of long segment bulbar urethral strictures remains controversial. Urethroplasty with tissue transfer is typically required, but the optimal technique is unknown. MATERIALS AND METHODS: A prospective cohort of 163 patients with complete follow-up data underwent dorsal onlay augmented anastomosis using buccal mucosa for long segment bulbar urethral strictures from November 2003 to March 2011...
June 2013: Urology
Jonathan F Kalisvaart, Bruce Broecker, Wolfgang H Cerwinka, Scott Cuda, James Elmore, Jonathan Kaye, Andrew J Kirsch, Hal C Scherz, Claudia Y Venable, Edwin A Smith
INTRODUCTION: Chronic orchalgia, defined as testicular pain lasting > 3 months and interfering with normal activities, is neglected in the pediatric literature. We describe our experience with the evaluation and treatment of pediatric chronic orchalgia patients. MATERIALS AND METHODS: Charts were screened to identify patients meeting the criteria for chronic orchalgia. Charts were further reviewed to record the history and physical exam, diagnostic tests, treatment and outcomes...
August 2012: Journal of Pediatric Urology
S P Shirodkar, M A Gorin, J Sageshima, V G Bird, J M Martinez, A Zarak, G Guerra, L Chen, G W Burke, G Ciancio
The laparoscopic approach to donor nephrectomy is becoming increasingly common. While it is felt that the recovery from laparoscopic nephrectomy is quicker and less painful, a number of complications have been reported. A rarely reported on complication in the literature with significant morbidity is ipsilateral orchalgia. From 1998 to 2008, 257 hand-assisted laparoscopic donor nephrectomies were performed at our institution. Eight of 129 (6.2%) men complained of de novo ipsilateral orchalgia postoperatively...
May 2011: American Journal of Transplantation
Seref Basal, Atila Ergin, Ibrahim Yildirim, Serdar Goktas, Abdulkadir Atim, Ali Sizlan, Hasan Cem Irkilata, Ercan Kurt, Murat Dayanc
We evaluated the effectiveness of pulsed radiofrequency (PRF) denervation of spermatic cord for the treatment of chronic orchialgia. Five patients diagnosed with chronic orchialgia were evaluated with a thorough medical and psychiatric history, physical examination, and scrotal Doppler ultrasound, urinary system x-ray film, and urine analyses. One of the patients had bilateral chronic orchialgia. All of the patients had pain for a period of at least 3 months, and multiple conservative therapies failed to alleviate the pain...
January 2012: Journal of Andrology
Tory L McJunkin, Adam L Wuollet, Paul J Lynch
Chronic testicular pain, or "chronic orchalgia," is defined as testicular pain 3 months or longer in duration that significantly interferes with the daily activities of the patient. For patients failing to respond to conservative treatment, microsurgical denervation of the spermatic cord, epididymectomy, and vasovasostomy have all shown a degree of relief. However, these are all invasive procedures and no treatment has proven efficacy when these options fail. We present a case of a male who presented with over a decade of chronic right-sided testicular pain secondary to recurrent epididymitis...
November 2009: Pain Physician
James A Moore, Cathy O'Neil, Derek Fawcett
INTRODUCTION: Testicular lumps and orchalgia both cause considerable anxiety, usually related to concerns about possible cancer. PATIENTS AND METHODS: We established a rapid-access testicular clinic staffed by a urologist and a specialist ultrasonographer in order to delay the time to a definitive diagnosis. RESULTS: Over a 30-month period, 845 men underwent clinical examination and scrotal ultrasonography. Overall, 4% of men were found to have testicular cancer...
January 2009: Annals of the Royal College of Surgeons of England
Shawn M McGee, Joel C Hutcheson, David R Vandersteen, Yuri Reinberg, James J Wolpert
Cystic dysplasia of the testis (CDT) is a rare entity that typically does not present with orchalgia in affected patients. Most patients with CDT are asymptomatic and have ipsilateral renal malformations. Our patient with CDT was referred because of prolonged unilateral orchalgia. Computed tomography demonstrated an ipsilateral atrophic kidney and hydro-ureter traveling posterior to the bladder. Orchalgia resolved with resection of the dysplastic kidney and ectopic ureter, which drained to an enlarged seminal vesicle...
June 2009: Urology
Parviz K Amid, Jonathan R Hiatt
No abstract text is available yet for this article.
August 2007: Journal of the American College of Surgeons
Christopher M Simons, Moshe Wald
Polyorchidism is a rare phenomenon, with 47 histologically confirmed cases and 77 total reported cases. In most patients, it is an incidental finding or an asymptomatic scrotal mass. More than half of histologically confirmed supernumerary testes have been reported to have the potential for sperm production. We report a case of a man with symptomatic left scrotal pain who was found to have a nonfunctional supernumerary testis in his left hemiscrotum.
2006: TheScientificWorldJournal
M J Rosen, Y W Novitsky, W S Cobb, K W Kercher, B Todd Heniford
INTRODUCTION: Chronic groin pain is the most common long-term complication after open inguinal hernia repair. Traditional surgical management of the associated neuralgia consists of injection therapy followed by groin exploration, mesh removal, and nerve transection. The resultant hernia defect may be difficult to repair from an anterior approach. We evaluate the outcomes of a combined laparoscopic and open approach for the treatment of chronic groin pain following open inguinal herniorrhaphy...
March 2006: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Ashis Chawla, Girish Kulkarni, Khaled Kamal, Armand Zini
OBJECTIVES: To assess the effectiveness of microsurgical varicocelectomy for the treatment of recurrent varicoceles associated with orchalgia. METHODS: Twelve patients with recurrent (or persistent) painful varicocele underwent microsurgical varicocelectomy. Follow-up assessment was available for 11 patients and included a postoperative questionnaire and scrotal examination. RESULTS: Pain disappeared completely in 6 of the 11 patients, and pain severity was reduced in 4 additional patients after microsurgical varicocelectomy, for an overall favorable response in 10 of 11 patients...
November 2005: Urology
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