Scientific article
Open access

Douleurs testiculaires chroniques : un défi multidisciplinaire

Other title[Chronic testicular pain: A multidisciplinary challenge]
Published inRevue médicale suisse, vol. 17, no. 761, p. 2086-2089
Publication date2021-12-01

Chronic testicular pain represents up to 5% of urological consultations. A simple workup can help identify an organic etiology in 50 to 75% of cases, leading to a targeted treatment. If this is not the case, chronic idiopathic orchialgia is diagnosed and multidisciplinary management is necessary. Treatment is initially conservative but is only effective in 4 to 15% of patients. Spermatic block by infiltration of the cord confirms the testicular origin of the pain and provides temporary relief. Microsurgical denervation of the spermatic cord is the treatment of choice for responders. It provides significant pain relief in 77 to 100% of cases.

  • Chronic Pain / diagnosis
  • Chronic Pain / etiology
  • Chronic Pain / therapy
  • Denervation
  • Humans
  • Male
  • Microsurgery
  • Spermatic Cord / surgery
  • Testicular Diseases / surgery
  • Testicular Diseases / therapy
Citation (ISO format)
VANOLI, Sylvain, VOUGA, Leo, ISELIN, Christophe. Douleurs testiculaires chroniques : un défi multidisciplinaire. In: Revue médicale suisse, 2021, vol. 17, n° 761, p. 2086–2089.
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Article (Published version)
ISSN of the journal1660-9379

Technical informations

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