{"id":312,"date":"2021-07-03T07:26:48","date_gmt":"2021-07-03T01:56:48","guid":{"rendered":"http:\/\/www.painx.in\/blog\/?p=312"},"modified":"2024-05-09T09:31:17","modified_gmt":"2024-05-09T09:31:17","slug":"chronic-testicular-pain-know-about-all-possible-treatment-options","status":"publish","type":"post","link":"https:\/\/painx.in\/blogs\/blog\/chronic-testicular-pain-know-about-all-possible-treatment-options\/","title":{"rendered":"Chronic Testicular Pain: Know about all possible treatment options"},"content":{"rendered":"\n

Thousands of men suffer from persistent testicular discomfort, a devastating ailment called chronic testicular pain <\/a>(CTP). CTP can be either intermittent or continuous. Most testicular discomfort is classified as chronic if the patient has been experiencing it for at least three months.<\/p>\n\n\n\n

Chronic testicular discomfort can be caused or resulted from a variety of causes. They vary from testicular injuries and infections to hernias, torsion (testicle twisting), tumours, varicoceles, spermatoceles, hydroceles, benign cysts, and more. The majority of illnesses that cause testicular discomfort are easily identified and treatable with medication, surgery, and other therapies. Approximately 25% of testicular discomfort has no recognised aetiology.<\/p>\n\n\n\n

CTP can interfere with normal daily life as well as one’s ability to work. Anyone who has had CTP understands the frustration of running from doctor to doctor in search of a cure. Dr Anurag Aggarwal M.D at Painandspineexperts provides cutting-edge therapies and is committed to assisting people suffering with CTP in regaining their quality of life.<\/p>\n\n\n\n

Symptoms<\/strong><\/p>\n\n\n\n

Chronic Testicular Pain might differ from one person to the next. Some men with CTP have persistent pain, while others experience discomfort that subsides and returns on a regular basis. Some men experience discomfort only during activities, while others experience discomfort only when the testicle is touched or checked. The discomfort might be in one or both testicles, or it might shift from side to side.<\/p>\n\n\n\n

CTP feelings are described in a variety of ways by men.   It can feel like burning, aching, pressure, throbbing, heaviness, pulling or a combination. It can also feel like a groin pull. Some men complain that CTP is accompanied by lower back discomfort or soreness in their upper thighs or legs.<\/p>\n\n\n\n

Pain can be exacerbated by sexual activity. CTP may also worsen when sitting for extended periods of time, such as while working at a desk or driving a truck. Heavy lifting, strenuous labour, or even swinging a golf club might cause CTP in someone who is predisposed to it.The pain and discomfort may be accompanied by painful or burning urination or penile discharge or pain with intercourse or ejaculation.<\/p>\n\n\n\n

There is also a link between testicular discomfort and anxiety about things like your career, marriage or relationships, and other crucial matters relating to your mental well being.  Fortunately,some men find comfort from their agony when they are able to discuss their worries or anxieties  with a  health specialist. Many men find good relief with mild antidepressants, neuropathic pain medications and opiods for few weeks or months.<\/p>\n\n\n\n

Some patients not getting any relief many undergo percutaneous genitofemoral nerve ablation or microsurgical denervation. Results of both these techniques are similar but microvascular denervation is quite costly and requires anesthesia and hospital admission. Percutaneous genitofemoral nerve ablation is a day care procedure done under USG or fluoroscopy guidance with success rates equal to microsurgical denervation of spermatic cord.<\/p>\n\n\n\n

Genitofemoral Nerve ablation<\/strong><\/p>\n\n\n\n

 RFA of genitofemoral nerve is useful if medical management and existing specific treatments to treat the chronic testicular pain fails. Radiofrequency neurolysis appears to be significantly more effective than local anesthetic nerve infiltrations. It is a safe and effective treatment for chronic groin and scrotal pain. Local steroid injection along with local injection of anaesthetics should be used as a confirmation of genitofemoral neuropathy before performing radiofrequency neurolysis.<\/p>\n\n\n\n

Genitofemoral nerve block and ablation employing cutting-edge technology and real-time ultrasound guidance, provides complete precision and guarantees our exceptionally low complication rates.<\/p>\n\n\n\n

PRACTICE RECOMMENDATIONS<\/strong><\/p>\n\n\n\n

1. Order ultrasound of the scrotum and testes to evaluate chronic testicular pain, with color Doppler to identify areas of hypervascularity.<\/strong><\/p>\n\n\n\n

2. Treat suspected epididymitis with empiric coverage for chlamydia with either a 10-day regimen of doxycycline (100 mg twice daily) or a single dose (1 g) of azithromycin; treat suspected gonorrhoea with a single intramuscular injection (125 mg) of ceftriaxone.<\/strong><\/p>\n\n\n\n

3. Do not treat small epididymal cysts that do not correlate with testicular pain; larger, painful cysts can be aspirated, injected with a sclerosing agent, or surgically excised.<\/strong><\/p>\n\n\n\n

4. Consider interventional pain management options only after medical and conservative therapies have failed to alleviate chronic testicular pain.<\/strong><\/p>\n\n\n\n

Reviews Google<\/strong><\/p>\n\n\n\n

Sumit Pandey 5 star 42 weeks ago I was suffering from testicular pain. The pain arise due a injury in pelvic region and on left spermatic card. After lots of treatment pain didn’t go away. Then my urologist suggest to visit some pain specialist. After going through reviews I visited Dr Anurag. He suggested me to go for nerve (genitofemoral) block. Dr Anurag is very kind and friendly. He is also very knowledgeable. But the best quality of him that liked was – he is very honest and during entire treatment he used to message asking me about the condition my pain. I would recommend Dr Anurag for pain related troubles. Thanks<\/a><\/p>\n\n\n\n

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