Introduction Chronic scrotal content pain (CSCP), also known as chronic testicular pain, chronic orchialgia, or chronic testalgia, has been defined as greater than 3 months of unilateral or bilateral scrotal pain interfering with daily life that ultimately leads to the pursuit of treatment [1 ••, 2]. One randomized controlled trial demonstrated a statistically significant decrease in pain scores with the use of gabapentin for up to three days postoperatively after scrotal surgery [13]. Chronic scrotal pain (CSP) is a common and poorly understood medical condition that significantly affects individuals’ quality of life. Many patients seek evaluation and management of their symptoms from multiple physicians. Our review aims to Scrotal pain is a frequent presenting complaint in the primary care setting. It accounts for up to 5% of outpatient urology visits. Despite this, chronic scrotal content pain (CSCP) remains a poorly understood condition. CSCP, also referred to as chronic orchialgia or testicular pain syndrome, is persistent pain (lasting at least three months) that is localized to the testicle, epididymis and Chronic orchialgia of this type is commonly thought to be a part of the more complex picture of chronic genitourinary pain syndromes (1), and is also termed chronic epididymitis, chronic testicular pain, chronic orchidynia, and chronic scrotal pain syndrome (CSPS) (2). Summary: Testicular pain is reported as a side effect among people who take Gabapentin (gabapentin), especially for people who are 60+ old, have been taking the drug for < 1 month also take Aspirin, and have Orchitis. The phase IV clinical study analyzes which people have Testicular pain when taking Gabapentin, including time on the drug, (if applicable) gender, age, co-used drugs and more. It We study how severe was Testicular pain, when it was recovered, drug effectiveness, race, and more among people who take Gabapentin (gabapentin) - Chronic testicular pain (CTP) is defined as an intermittent or constant, unilateral or bilateral pain of three or more months duration that is significantly bothersome to the patient and other causes such as an infection, testicular mass, varicocele, hydrocele, abscess or referred pain have been ruled out (1,2). In this interview, Parviz K. Kavoussi, MD, discusses his diagnostic work-up for patients who present with chronic testicular pain and describes conservative and surgical management approaches for the condition. Abstract 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. We offered the patient conservative treatment alternatives for his testicular pain not given before including duloxetine and/ or gabapentin which have been used frequently in the fields of neurology and/or physical therapy and rehabilitation (PTR) for the treatment of peripheral pain. Although this is a small study, it appears that gabapentin and nortriptyline are effective in the treatment of idiopathic chronic orchialgia but not post-vasectomy pain. Chronic orchialgia is defined as 3 months of intermittent or constant testicular pain that is significantly bothersome to the patient. It is the cause of about 2.5% to 5% of all urology consultations and currently affects about 100,000 men in the United States each year. When it cannot be directly be attributed to any specific, identifiable source, the condition is called idiopathic chronic Testicular pain of the patient decreased dramatically, and finally disappeared (final VAS score=1) with duloxetine (60 mg PO)-gabapentin (400 mg PO) combination treatment after 4 weeks. Occasionally, he felt slight, and short-lasting (only 1 min) pain which did not affect his QoL (Figure 4). The management of patients suffering with chronic testicular and groin pain is very challenging. With increased awareness of men’s health, more patients and clinicians are open to talk about this complex problem that affects over 100,000 men/year. The pathogenesis of chronic orchialgia is still not clear, but there are several postulated theories. Treatment options include conservative Purpose:To assess the safety and efficacy of gabapentin in reducing postoperative pain among patients undergoing scrotal surgery for male infertility by conducting a randomized, double-blind, placebo-controlled trial.Materials and Methods:In this Gabapentin is an anticonvulsant with unclear but therapeutic effects on neurologic pain. Materials and methods: Twenty-one patients referred with refractory genitourinary pain were treated with oral gabapentin. There were 9 men and 12 women. In the male patients, the location of pain was testicle (4), bladder (2), penis (1), or prostate (2). Various medications can be used to treat nerve pain, such as Gabapentin or Amitriptyline at bedtime, which have been shown to reduce pain by at least 50% in around two-thirds of patients with chronic scrotal content pain. Side effects of these medications can include sleepiness and mental fogginess. Results We subdivided CSCP syndrome into 5 clinical presentation types, including hyperactive cremasteric reflex, pain localized in the testicles, pain in the testis, spermatic cord, and groin, pain localized in the testicles, spermatic cord, groin, and pubis, and pain in the testicles, spermatic cord/groin, and penis/pelvis. Chronic scrotal content pain remains one of the more challenging urological problems to manage. This is a frustrating disorder to diagnose and effectively treat for both the patient and clinician, as no universally accepted treatment guidelines
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |