- Chronic testicular pain lasting more than 3 months
- Can come on suddenly/gradually
- Spontaneous
- As a result of an infection (UTI/STI)
- Trauma
- Inflammation
- Surgery
- Pain originating from the scrotum
- Physical exam
- STI screening (if applicable)
- Urine sample
- Ultrasound to rule out other pathology
- Heat application: Warm baths, heating pads, hot water bottles
- Oral medications: Anti-inflammatories
- Wearing tight-fitting underwear
- Avoiding heavy lifting
- Pelvic physiotherapy: If pain is due to muscle spasming
- Temporary spermatic cord block: Local anesthetic is injected into the spermatic cord (the structure carrying the vas, nerves, blood vessels and lymphatics to the testicle)
- Surgery: Microsurgical Cord Denervation if the temporary cord block is successful
- The cord is exposed and the nerve containing structures are cut while the blood and lymphatic supply are maintained
- Provides long-term pain relief in over 70% of patients who have
- Chronic pain lasting more than 3 months
- Failed other medical interventions and therapies
- Received temporary relief with a cord block
