患有可识别阴囊内病变的患者睾丸疼痛手术治疗的结果。

Outcomes for surgical management of orchalgia in patients with identifiable intrascrotal lesions.

作者信息

Gray C L, Powell C R, Amling C L

机构信息

Department of Urology, Naval Medical Center, San Diego, Calif 92134-5000, USA.

出版信息

Eur Urol. 2001 Apr;39(4):455-9. doi: 10.1159/000052485.

DOI:10.1159/000052485

PMID:11306886

Abstract

OBJECTIVE

The outcome of surgery for relief of orchalgia in patients with identifiable intrascrotal pathology is not well defined. We evaluated the success of commonly performed surgical procedure indicated for pain relief in patients with specific intrascrotal lesions.

METHODS

Surgical cases performed for relief of painful scrotal pathology were reviewed, including ligation of internal spermatic vein, hydrocelectomy, spermatocelectomy, and orchiopexy for suspected intermittent torsion. Relief of pain as reported to the physician and time for return to full activity were determined. Pain relief was compared to a 50% placebo rate using Fisher's exact test.

RESULTS

Eigthy-five of 151 patients (56%) undergoing surgery for pain relief had complete data and adequate follow-up for analysis. Of 40 patients who had ligation of the internal spermatic vein, 30 (75%) were relieved of pain (p = 0.037). All 19 patients with painful hydroceles and 16 of 17 (94%) with spermatoceles were relieved of pain (p < 0.001). Of 9 patients undergoing scrotal orchiopexy for suspected intermittent torsion, 8 (89%) were pain-free (p < 0.001).

CONCLUSION

Surgical management of specific intrascrotal lesions is highly effective.

摘要

目的

对于患有可识别阴囊内病变的患者，手术缓解睾丸疼痛的效果尚不明确。我们评估了针对特定阴囊内病变患者进行的旨在缓解疼痛的常见手术操作的成功率。

方法

回顾了为缓解阴囊疼痛性病变而进行的手术病例，包括精索内静脉结扎术、鞘膜积液切除术、精液囊肿切除术以及针对疑似间歇性扭转的睾丸固定术。确定患者向医生报告的疼痛缓解情况以及恢复完全活动的时间。使用Fisher精确检验将疼痛缓解情况与50%的安慰剂率进行比较。

结果

151例接受缓解疼痛手术的患者中有85例（56%）有完整数据且随访充分可供分析。在40例行精索内静脉结扎术的患者中，30例（75%）疼痛缓解（p = 0.037）。所有19例患有疼痛性鞘膜积液的患者以及17例精液囊肿患者中的16例（94%）疼痛缓解（p < 0.001）。在9例因疑似间歇性扭转而接受阴囊睾丸固定术的患者中，8例（89%）无疼痛（p < 0.001）。