Scrotal pain: Evaluation and management

다국어 초록 (Multilingual Abstract)

Scrotal pain is a common complaint in a urological practice. Its diagnosis can prove challenging in both acute and chronic formsand requires a thorough and complete history and physical examination. This article discusses the evaluation and management ofseveral entities of scrotal pain, including testicular torsion, epididymitis, postvasectomy pain, varicocele, and chronic orchialgia.

참고문헌 (Reference)

1 Edwards IS, "Vasectomy reversal for treatment of the postvasectomy pain syndrome" 158 : 2252-, 1997

2 Myers SA, "Vasectomy reversal for treatment of the post-vasectomy pain syndrome" 157 : 518-520, 1997

3 Nangia AK, "Vasectomy reversal for the post-vasectomy pain syndrome: a clinical and histological evaluation" 164 : 1939-1942, 2000

4 Werthman P, "Vasectomy reversal for post-vasectomy pain syndrome:a ten-year experience" 183 (183): e752-, 2010

5 Herbener TE, "Ultrasound in the assessment of the acute scrotum" 24 : 405-421, 1996

6 Gomez Garcia I, "Tuberculous orchiepididymitis during 1978-2003 period: review of 34 cases and role of 16S rRNA amplification" 76 : 776-781, 2010

7 Coolsaet BL, "The varicocele syndrome: venography determining the optimal level for surgical management" 124 : 833-839, 1980

8 Saypol DC, "The varicocele" 2 : 61-71, 1981

9 Marcozzi D, "The nontraumatic, acute scrotum" 19 : 547-568, 2001

10 Meacham RB, "The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography" 151 : 1535-1538, 1994

11 McAndrew HF, "The incidence and investigation of acute scrotal problems in children" 18 : 435-437, 2002

12 Rabinowitz R, "The importance of the cremasteric reflex in acute scrotal swelling in children" 132 : 89-90, 1984

13 Knight PJ, "The diagnosis and treatment of the acute scrotum in children and adolescents" 200 : 664-673, 1984

14 Ringdahl E, "Testicular torsion" 74 : 1739-1743, 2006

15 Ben-Sira L, "Severe scrotal pain in boys with Henoch-Schönlein purpura: incidence and sonography" 30 : 125-128, 2000

16 Laor T, "Scrotal ultrasonography in Henoch-Schönlein purpura" 22 : 505-506, 1992

17 Agarwal A, "Role of oxidative stress in pathogenesis of varicocele and infertility" 73 : 461-469, 2009

18 Bruning CO 3rd, "Re: Vasectomy reversal for treatment of the post-vasectomy pain syndrome" 158 : 1528-, 1997

19 Comhaire F, "Radiological anatomy of the internal spermatic vein(s) in 200 retrograde venograms" 4 : 379-387, 1981

20 Choe JM, "Questionnaire-based outcomes study of nononcological post-vasectomy complications" 155 : 1284-1286, 1996

21 Woolf CJ, "Preemptive analgesia: treating postoperative pain by preventing the establishment of central sensitization" 77 : 362-379, 1993

22 Ahlberg NE, "Phlebography in varicocele scroti" 4 : 517-528, 1966

23 Holland JM, "Phantom orchalgia" 152 (152): 2291-2293, 1994

24 Peterson AC, "Outcomes of varicocele ligation done for pain" 159 : 1565-1567, 1998

25 Kavoussi PK, "Orchialgia and the chronic pelvic pain syndrome" 31 : 773-778, 2013

26 Kohler FP, "On the etiology of varicocele" 97 : 741-742, 1967

27 Woolf CJ, "Neuronal plasticity: increasing the gain in pain" 288 : 1765-1769, 2000

28 Strom KH, "Microsurgical denervation of the spermatic cord for chronic orchialgia: long-term results from a single center" 180 : 949-953, 2008

29 Levine LA, "Microsurgical denervation of the spermatic cord as primary surgical treatment of chronic orchialgia" 165 (165): 1927-1929, 2001

30 김현태, "Microsurgical Ligation for Painful Varicocele: Effectiveness and Predictors of Pain Resolution" 연세대학교의과대학 53 (53): 145-150, 2012

31 Larsen SM, "Microdenervation of the spermatic cord for chronic scrotal content pain: single institution review analyzing success rate after prior attempts at surgical correction" 189 : 554-558, 2013

32 Siu W, "Long-term follow-up after epididymectomy for chronic epididymal pain" 70 : 333-335, 2007

33 Cadeddu JA, "Laparoscopic testicular denervation for chronic orchalgia" 162 (162): 733-735, 1999

34 Paxton LD, "Intra-vas deferens bupivacaine for prevention of acute pain and chronic discomfort after vasectomy" 74 : 612-613, 1995

35 Kwak N, "Imaging and interventional therapy for varicoceles" 15 : 399-, 2014

36 Hori S, "Histological differentiation between chlamydial and bacterial epididymitis: nondestructive and proliferative versus destructive and abscess forming: immunohistochemical and clinicopathological findings" 26 : 402-407, 1995

37 Centers for Disease Control and Prevention, "Guidelines for treatment of sexually transmitted diseases" 47 (47): 1-118, 1998

38 Redshaw JD, "Epididymitis: a 21-year retrospective review of presentations to an outpatient urology clinic" 192 : 1203-1207, 2014

39 Hamdan M, "Epididymitis in infants. Apropos of a case and review of the literature" 97 : 228-229, 1991

40 Trojian TH, "Epididymitis and orchitis:an overview" 79 : 583-587, 2009

41 West AF, "Epididymectomy is an effective treatment for scrotal pain after vasectomy" 85 : 1097-1099, 2000

42 Sweeney P, "Epididymectomy in the management of intrascrotal disease: a critical reappraisal" 81 : 753-755, 1998

43 Yaman O, "Effect of microsurgical subinguinal varicocele ligation to treat pain" 55 : 107-108, 2000

44 조강수, "Effect of Varicocelectomy on Male Infertility" 대한비뇨기과학회 55 (55): 703-709, 2014

45 Boettcher M, "Differentiation of epididymitis and appendix testis torsion by clinical and ultrasound signs in children" 82 : 899-904, 2013

46 Awsare NS, "Complications of vasectomy" 87 : 406-410, 2005

47 Pilatz A, "Color Doppler ultrasound imaging in varicoceles: is the venous diameter sufficient for predicting clinical and subclinical varicocele?" 29 : 645-650, 2011

48 Chiou RK, "Color Doppler ultrasound criteria to diagnose varicoceles: correlation of a new scoring system with physical examination" 50 : 953-956, 1997

49 이헌주, "Clinical Characteristics and Surgical Outcomes in Adolescents and Adults with Varicocele" 대한비뇨기과학회 52 (52): 489-493, 2011

50 McMahon AJ, "Chronic testicular pain following vasectomy" 69 : 188-191, 1992

51 Hayden LJ, "Chronic testicular pain" 22 : 1357-1365, 1993

52 Levine L, "Chronic orchialgia: evaluation and discussion of treatment options" 2 : 209-214, 2010

53 Sinclair AM, "Chronic orchialgia: consider gabapentin or nortriptyline before considering surgery" 14 : 622-625, 2007

54 Gerber GS, "Campbell’s urology. 8th ed" Saunders 83-110, 2002

55 조승훈, "Associations of Ultrasonographic Features with Scrotal Pain after Vasectomy" 대한비뇨기과학회 52 (52): 782-786, 2011

56 Santillanes G, "Are antibiotics necessary for pediatric epididymitis?" 27 : 174-178, 2011

57 Davis BE, "Analysis and management of chronic testicular pain" 143 : 936-939, 1990

58 Cicek T, "Amiodarone induced epididymitis: a case report" 16 : e13929-, 2014

59 Hutcheson J, "Amiodarone induced epididymitis in children" 160 : 515-517, 1998

60 Van Glabeke E, "Acute scrotal pain in children: results of 543 surgical explorations" 15 : 353-357, 1999

61 Burgher SW, "Acute scrotal pain" 16 : 781-809, 1998

62 Dogra V, "Acute painful scrotum" 42 : 349-363, 2004

63 Haecker FM, "Acute epididymitis in children: a 4-year retrospective study" 15 : 180-186, 2005

64 주정민, "Acute Epididymitis in Children: the Role of the Urine Test" 대한비뇨기과학회 54 (54): 135-138, 2013

65 Basal S, "A novel treatment of chronic orchialgia" 33 : 22-26, 2012

66 Lee JY, "A comparison of epididymectomy with vasectomy reversal for the surgical treatment of postvasectomy pain syndrome" 46 : 531-537, 2014