Aljumaily Aosama, Al-Khazraji Hind, Gordon Allan, Lau Susan, Jarvi Keith A
Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada; Murray Koffler Urologic Wellness Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
Pain Res Manag. 2017;2017:3829168. doi: 10.1155/2017/3829168. Epub 2017 Mar 2.
Chronic scrotal pain (CSP) is a common and debilitating condition, but the underlying characteristics and etiology of CSP are poorly understood. The objective of this study is to identify the characteristic and etiologies of CSP. Men presenting for management of CSP completed a standardized questionnaire and underwent a complete physical examination. From Feb 2014 to Sep 2015, a total of 131 men (mean age 43) with CSP were studied. The CSP was of long duration (mean of 4.7 ± 5.95 years) and dramatically affected men's lives, with adverse effects on normal activities (71.%), ability to work (51.90%), and sexual functioning (61.8%). 50.4% felt depressed on most days, and 67.17% felt either unhappy or terrible with their present condition. Physical examination revealed that the epididymis was the most common tender area found in 70/131 men (53.43%), though a musculoskeletal source for the pain was found in 9.9%. Neuropathic changes were found in 30%. For close to half of the men (43.5%) we were unable to identify any potential cause for the CSP. This study characterizes the dramatic impact that CSP has on the lives of men, while providing an understanding of the common etiologies.
慢性阴囊疼痛（CSP）是一种常见且使人衰弱的病症，但对其潜在特征和病因了解甚少。本研究的目的是确定CSP的特征和病因。前来治疗CSP的男性完成了一份标准化问卷并接受了全面的体格检查。在2014年2月至2015年9月期间，共研究了131名患有CSP的男性（平均年龄43岁）。CSP病程较长（平均4.7±5.95年），对男性生活产生了极大影响，对正常活动（71%）、工作能力（51.90%）和性功能（61.8%）均有不利影响。50.4%的人大多数日子感到抑郁，67.17%的人对自己目前的状况感到不开心或糟糕。体格检查发现，附睾是最常见的压痛部位，在70/131名男性（5,3.43%）中发现，不过9.9%的人疼痛源于肌肉骨骼系统。30%的人发现有神经病变。近一半的男性（43.5%），我们无法确定CSP的任何潜在病因。这项研究描述了CSP对男性生活的巨大影响，同时提供了对常见病因的认识。
