慢性睾丸疼痛的医学管理
Medical management of chronic orchialgia.
作者信息
Starke Nathan R, Costabile Raymond A
机构信息
Department of Urology, University of Virginia, Charlottesville, VA, USA.
出版信息
Transl Androl Urol. 2017 May;6(Suppl 1):S48-S50. doi: 10.21037/tau.2017.05.18.
Abstract
Chronic idiopathic orchialgia is a urologic disease process that is as frustrating as it is common. While no consensus exists on management for otherwise-unexplained testicular pain, most providers would agree that once other treatable organic causes are ruled out, initial management should be symptom focused, and should be medical rather than surgical. This chapter presents a review of the evidence available for a variety of pharmacotherapies commonly employed in the treatment of idiopathic chronic orchialgia.
摘要
慢性特发性睾丸疼痛是一种泌尿系统疾病，既常见又令人沮丧。虽然对于不明原因的睾丸疼痛的治疗尚无共识，但大多数医疗人员会认同，一旦排除了其他可治疗的器质性病因，初始治疗应以症状为重点，且应采用药物治疗而非手术治疗。本章综述了常用于治疗特发性慢性睾丸疼痛的各种药物疗法的现有证据。
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本文引用的文献
1
Prevalence of Relative Deficiencies in Testosterone and Vitamin B12 Among Patients Referred for Chronic Orchialgia: Implications for Management.
Am J Mens Health. 2018 May;12(3):608-611. doi: 10.1177/1557988316642723. Epub 2016 Apr 8.
2
Orchialgia and the chronic pelvic pain syndrome.
World J Urol. 2013 Aug;31(4):773-8. doi: 10.1007/s00345-013-1092-5. Epub 2013 May 5.
3
Chronic scrotal pain syndrome (CSPS): the widespread use of antibiotics is not justified.
Andrology. 2013 Jan;1(1):155-9. doi: 10.1111/j.2047-2927.2012.00017.x. Epub 2012 Oct 29.
4
Chronic orchialgia: evaluation and discussion of treatment options.
Ther Adv Urol. 2010 Oct;2(5-06):209-14. doi: 10.1177/1756287210390409.
5
Chronic orchialgia: consider gabapentin or nortriptyline before considering surgery.
Int J Urol. 2007 Jul;14(7):622-5. doi: 10.1111/j.1442-2042.2007.01745.x.
6
Chronic scrotal pain syndrome: management among urologists in Switzerland.
Eur Urol. 2005 Jun;47(6):812-6. doi: 10.1016/j.eururo.2005.01.003. Epub 2005 Jan 18.
7
Chronic testicular pain: an overview.
Eur Urol. 2004 Apr;45(4):430-6. doi: 10.1016/j.eururo.2003.11.004.
8
The evolving role of antiepileptic drugs in treating neuropathic pain.
Neurology. 2000;55(5 Suppl 1):S41-6; discussion S54-8.
9
Chronic pain as a depressive equivalent.
Postgrad Med. 1983 Mar;73(3):79-85. doi: 10.1080/00325481.1983.11697795.
10
Selected tricyclic antidepressants in the management of chronic benign pain.
South Med J. 1988 May;81(5):562-4. doi: 10.1097/00007611-198805000-00004.
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