Chronic Scrotal Pain

Chronic Scrotal Pain Purpose of Review Chronic scrotal pain (CSP) is a common yet poorly understood condition, with significant impacts on overall quality of life. Many patients will have sought evaluation and management from multiple providers in an attempt to find a solution for their pain. Recent Findings Despite many emerging treatments for CSP and further understanding of the potential etiologies and patho- physiological basis of the condition, its natural history is poorly understood. It is also important to recognize the psychosocial impact of CSP and consider formal referral for psychological evaluation and treatment if the patient endorses significant psychiatric responses to pain. It is important to also recognize the neuropathic component of pain that may arise in patients with CSP. Neuropathic medications show promise as a narcotic-sparing pharmacological intervention. There are promising surgical options for CSP including microsurgical denervation of the spermatic cord. Summary This article highlights the current best practice recommendations on the evaluation and management of chronic scrotal pain. Keywords Chronic scrotal pain Men’shealth Introduction the condition in patients, with a frequency ranging from 0.4 to 4.75% in specific groups of men. In one Turkish study, Ciftci Chronic scrotal pain (CSP) is a condition that is common, et al. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Reports Springer Journals

Chronic Scrotal Pain

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Urology; Nephrology
ISSN
1527-2737
eISSN
1534-6285
D.O.I.
10.1007/s11934-018-0811-2
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Chronic scrotal pain (CSP) is a common yet poorly understood condition, with significant impacts on overall quality of life. Many patients will have sought evaluation and management from multiple providers in an attempt to find a solution for their pain. Recent Findings Despite many emerging treatments for CSP and further understanding of the potential etiologies and patho- physiological basis of the condition, its natural history is poorly understood. It is also important to recognize the psychosocial impact of CSP and consider formal referral for psychological evaluation and treatment if the patient endorses significant psychiatric responses to pain. It is important to also recognize the neuropathic component of pain that may arise in patients with CSP. Neuropathic medications show promise as a narcotic-sparing pharmacological intervention. There are promising surgical options for CSP including microsurgical denervation of the spermatic cord. Summary This article highlights the current best practice recommendations on the evaluation and management of chronic scrotal pain. Keywords Chronic scrotal pain Men’shealth Introduction the condition in patients, with a frequency ranging from 0.4 to 4.75% in specific groups of men. In one Turkish study, Ciftci Chronic scrotal pain (CSP) is a condition that is common, et al.

Journal

Current Urology ReportsSpringer Journals

Published: May 31, 2018

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