Bosch Philip Christian, Parsons C Lowell
Department of Surgery/Urology, UC San Diego Medical Center, San Diego, CA, USA.
Urol Ann. 2019 Jul-Sep;11(3):261-264. doi: 10.4103/UA.UA_161_17.
Treatment of chronic idiopathic scrotal pain is a dilemma and challenge. Many men with this condition undergo multiple therapies and surgeries with no improvement in their symptoms. Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) have a variable clinical presentation and initially complain of only one symptom of urinary urgency, frequency, or pain. We report on patients with chronic idiopathic scrotal pain treated with standard therapy for IC/BPS.
Patients with chronic idiopathic scrotal content pain were evaluated, determined to have chronic idiopathic scrotal content pain, and were treated with either pentosan polysulfate sodium (PPS) or bladder instillations of alkalinized lidocaine and heparin.
Sixteen males were determined to have chronic idiopathic scrotal pain. Eight males received PPS and eight males received a bladder instillation of alkalinized lidocaine and heparin. All patients had improvement of their scrotal pain to a self-reported acceptable level.
Chronic idiopathic scrotal pain may be one of the variable presenting symptoms of IC/BPS. This scrotal pain may actually be referred pain from the bladder. Standard therapies for IC/BPS may be a treatment option for chronic idiopathic scrotal pain.
慢性特发性阴囊疼痛的治疗是一个难题和挑战。许多患有这种疾病的男性接受了多种治疗和手术，但症状并未改善。间质性膀胱炎/膀胱疼痛综合征（IC/BPS）患者临床表现各异，最初仅主诉尿急、尿频或疼痛这三种症状中的一种。我们报告了采用IC/BPS标准疗法治疗慢性特发性阴囊疼痛的患者情况。
对慢性特发性阴囊内容物疼痛患者进行评估，确诊为慢性特发性阴囊内容物疼痛后，采用戊聚糖多硫酸钠（PPS）或膀胱灌注碱化利多卡因和肝素进行治疗。
16名男性被确诊为慢性特发性阴囊疼痛。8名男性接受了PPS治疗，8名男性接受了膀胱灌注碱化利多卡因和肝素治疗。所有患者的阴囊疼痛均改善至自我报告的可接受水平。
慢性特发性阴囊疼痛可能是IC/BPS多种表现症状之一。这种阴囊疼痛实际上可能是来自膀胱的牵涉痛。IC/BPS的标准疗法可能是慢性特发性阴囊疼痛的一种治疗选择。
