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Papers of the Week

2022 Mar 11

Minerva Urol Nephrol

Surgical management of chronic scrotal pain: a review of the current literature.


Visser WR, Smith-Harrison L, Payne B, Smith RP, Krzastek SC
Minerva Urol Nephrol. 2022 Mar 11.
PMID: 35274901.


Chronic scrotal pain may be due to an identifiable cause, may be multifactorial, or may be idiopathic. Successful treatment often requires multimodal therapy with a multidisciplinary approach. Conservative options may be offered initially, but if symptoms fail to improve with conservative interventions, more invasive therapies may be required. A nerve block may be attempted and patients who experience improvement in pain following nerve blocks may be good candidates for surgical denervation of the spermatic cord. Alternative surgical treatment options including proximal nerve blocks, neuromodulation, cryoablation, vasectomy reversal, varicocelectomy, and even orchiectomy have been described. The aim of this review is to discuss the treatment options for chronic scrotal pain with a focus on surgical treatment options.