Lian Fei, Shah Ankur, Mueller Benjamin, Welliver Charles
Division of Urology, Albany Medical Center, Albany, New York, USA.
Transl Androl Urol. 2017 May;6(Suppl 1):S14-S19. doi: 10.21037/tau.2017.03.91.
Chronic orchialgia is a challenging problem to both the practitioner and unhappy patient and may be a poorly understood manifestation of a potential variety of different discrete causes. Treatment options can be wide ranging and include conservative measures, medical therapy, in office treatments and surgical procedures. Research has primarily focused on these more concrete treatment options with little focus on the either co-morbid or causative psychological issues. By at least considering the potential psychological co-morbidities and stressors that may be associated with chronic orchialgia, physicians can better utilize a multi-modal approach to this vexing problem.
慢性睾丸疼痛对医生和痛苦的患者来说都是一个具有挑战性的问题,它可能是多种不同离散病因的一种未被充分理解的表现形式。治疗选择范围广泛,包括保守措施、药物治疗、门诊治疗和外科手术。研究主要集中在这些更具体的治疗选择上,很少关注共病或致病的心理问题。通过至少考虑可能与慢性睾丸疼痛相关的潜在心理共病和压力源,医生可以更好地采用多模式方法来应对这个棘手的问题。