Wipfli, F. Luyet, R. Greif, G. Thalmann, U. Performing spermatic cord block for scrotal surgery avoids the potential risks of neuraxial and general anaesthesia and provides long-lasting postoperative analgesia.
An algorithm for the treatment of chronic testicular pain
Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade
Every practicing urologist encounters patients complaining of chronic scrotal content pain CSCP. This condition can be equally frustrating for both patients and clinicians as there are no clear treatment guidelines, or pathways, for urologists to follow. As a result, most patients typically seek out multiple providers without improvements in their symptoms. Fortunately, microsurgical spermatic cord denervation MSCD is becoming an accepted, reliable and reproducible technique for definitively addressing CSCP in select patients.
Spermatic Cord Anesthesia Block: An Old Technique Re-imaged
Joel J. William J. Highlight risks and benefits and provide realistic expectations of short- and long-term postsurgical outcomes. It is also important to address psychological factors and social stressors that often contribute to chronic pelvic pain syndromes, which can improve long-term outcomes regardless of the chosen treatment. For this reason, a referral to a psychiatrist may be indicated.