Banner Davina, Cassidy Darby, Appleby Colin, Dolan Shayna, Freeman Shannon, Klassen-Ross Tammy, Ghag Kiranpreet
School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC V2N4Z9, Canada.
Cassidy Urology Clinic, Prince George, BC, Canada (Principal Knowledge-User).
Ther Adv Urol. 2023 Sep 25;15:17562872231196685. doi: 10.1177/17562872231196685. eCollection 2023 Jan-Dec.
Chronic scrotal content pain, sometimes referred to as chronic orchialgia, is a common urological condition that gives rise to persistent and often severe painful stimuli to the scrotum and surrounding structures. Despite its relative commonality, accounting for over 2% of urological visits, chronic scrotal content pain is complex to manage and patients may be required to access multiple providers and undergo invasive procedures, including microsurgical spermatic cord denervation (MSCD) surgery.
The objective of this study was to understand the experiences and perspectives of persons with chronic scrotal content pain and accessing MSCD surgery.
An exploratory qualitative design, guided by interpretive description and integrated knowledge translation, was adopted.
We conducted in-depth qualitative interviews with six patients with chronic scrotal content pain who underwent MSCD surgery in a surgical center in Western Canada. Data were analyzed thematically.
Analysis of the study data resulted in three core themes: living with chronic scrotal content pain, quality of life, and MSCD procedure and outcomes. We highlight the debilitating nature of pain and the broad impacts upon health, quality of life, and social functioning. Participants described how MSCD surgery offered an effective solution for persistent and debilitating pain. For the participants, MSCD surgery offered hope and the chance to regain their normality.
For those with chronic scrotal content pain, access to a pain specialist, along with the adoption of a biopsychosocial approach to pain and early access to MSCD surgery, may improve patient experiences and outcomes. Considering the high prevalence of urological pain, greater interdisciplinary care is needed in order to support more effective and timely management.
慢性阴囊内容物疼痛，有时也称为慢性睾丸痛，是一种常见的泌尿系统疾病，会对阴囊及周围结构产生持续且往往较为严重的疼痛刺激。尽管其相对常见，占泌尿科就诊病例的2%以上，但慢性阴囊内容物疼痛的治疗较为复杂，患者可能需要寻求多位医疗服务提供者的帮助，并接受包括显微外科精索去神经术（MSCD）手术在内的侵入性手术。
本研究的目的是了解慢性阴囊内容物疼痛患者接受MSCD手术的经历和观点。
采用了以诠释性描述和整合知识转化为指导的探索性定性设计。
我们对在加拿大西部一家外科中心接受MSCD手术的6名慢性阴囊内容物疼痛患者进行了深入的定性访谈。对数据进行了主题分析。
对研究数据的分析产生了三个核心主题：慢性阴囊内容物疼痛的生活、生活质量以及MSCD手术及结果。我们强调了疼痛的致残性及其对健康、生活质量和社会功能的广泛影响。参与者描述了MSCD手术如何为持续且使人衰弱的疼痛提供了有效的解决方案。对参与者而言，MSCD手术带来了希望和恢复正常生活的机会。
对于慢性阴囊内容物疼痛患者，接触疼痛专科医生，采用生物心理社会疼痛治疗方法并尽早接受MSCD手术，可能会改善患者的体验和治疗效果。鉴于泌尿系统疼痛的高患病率，需要更多的跨学科护理，以支持更有效和及时的治疗。
