Department of Urology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510080, China.
Chin Med J (Engl). 2012 Aug;125(15):2784-6.
A patient referred to our hospital, diagnosed with left idiopathic chronic orchialgia, was evaluated with a thorough medical and psychiatric history, physical examination, scrotal ultrasound and magnetic resonance imaging. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block three times. Microsurgical denervation of the left spermatic cord was operated in March, 2011. A pain questionnaire was used to determine efficacy before and after operation, and complete pain relief was noted at one week after operation. The follow up period was 12 months, at the end of which the pain score was still zero. No complications, including testicular atrophy and hydrocele, occurred. Microsurgical denervation of the spermatic cord can be a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.
一位患者被转至我院，诊断为左侧特发性慢性精索痛。对其进行了详细的医学和精神病史询问、体格检查、阴囊超声和磁共振成像检查。保守治疗失败。该患者接受了 3 次门诊精索阻滞后暂时缓解了疼痛。2011 年 3 月，对其进行了左侧精索显微神经切断术。手术前后使用疼痛问卷评估疗效，术后 1 周即完全缓解疼痛。随访 12 个月，疼痛评分仍为 0。无睾丸萎缩和阴囊积水等并发症发生。精索显微神经切断术是一种微创、安全、有效的治疗特发性慢性精索痛的方法。
