Campbell Kevin, Lipshultz Larry
Baylor College of Medicine, Suite 1700, 6624 Fannin, Houston, TX 77030, USA.
Baylor College of Medicine, Houston, TX, USA.
Ther Adv Urol. 2021 Jun 22;13:17562872211026433. doi: 10.1177/17562872211026433. eCollection 2021 Jan-Dec.
The management of pain is a complex condition that will be encountered by most practicing clinicians. In the genitourinary community, testicular pain may be classified as acute or chronic. Initial evaluation of chronic groin and scrotal content pain (CGSCP) begins with a detailed history and physical examination to elucidate the presenting pathology. Multiple therapy algorithms have been proposed with no definitive consensus; however, most begin with conservative intervention and medical management prior to advancing to more invasive procedures. Surgical approaches may range from reconstruction, as in vasovasostomy for post-vasectomy pain syndrome, to excision of the offending agent, as in epididymectomy. This review seeks to focus on chronic pain in the genitourinary community and review techniques of pain management in the current intervention for orchialgia, as well as identify future methods of treatment.
疼痛管理是大多数执业临床医生都会遇到的复杂情况。在泌尿生殖领域，睾丸疼痛可分为急性或慢性。慢性腹股沟和阴囊内容物疼痛（CGSCP）的初步评估始于详细的病史和体格检查，以阐明当前的病理情况。已经提出了多种治疗方案，但尚无明确的共识；然而，大多数方案在推进到更具侵入性的手术之前，首先采用保守干预和药物治疗。手术方法可能包括重建，如输精管吻合术治疗输精管结扎术后疼痛综合征，以及切除致病因素，如附睾切除术。本综述旨在关注泌尿生殖领域的慢性疼痛，回顾当前治疗睾丸疼痛的疼痛管理技术，并确定未来的治疗方法。
