Calixte Nahomy, Brahmbhatt Jamin, Parekattil Sijo
South Lake Hospital / Orlando Health, 1900 Don Wickham Dr, Clermont, FL, 34711, USA.
The PUR Clinic, South Lake Hospital, Clermont, FL, USA.
Curr Urol Rep. 2017 Sep 2;18(10):83. doi: 10.1007/s11934-017-0722-7.
The management of patients suffering with chronic testicular and groin pain is very challenging. With increased awareness of men's health, more patients and clinicians are open to talk about this complex problem that affects over 100,000 men/year. The pathogenesis of chronic orchialgia is still not clear, but there are several postulated theories. Treatment options include conservative medical therapy with NSAIDs, antidepressants, anticonvulsants, and narcotics. Surgical options such as targeted microsurgical denervation and microcryoablation can provide permanent durable pain relief. The goal of this article is to review and discuss the management of patients with chronic orchialgia using currently available literature.
慢性睾丸和腹股沟疼痛患者的管理极具挑战性。随着对男性健康意识的提高，越来越多的患者和临床医生愿意谈论这个每年影响超过10万名男性的复杂问题。慢性睾丸疼痛的发病机制仍不明确，但有几种假说理论。治疗选择包括使用非甾体抗炎药、抗抑郁药、抗惊厥药和麻醉药的保守药物治疗。诸如靶向显微去神经术和微冷冻消融术等手术选择可以提供持久的疼痛缓解。本文的目的是利用现有文献回顾和讨论慢性睾丸疼痛患者的管理。
