O 12. Microsurgical denervation of the spermatic cord for treatment of idiopathic chronic orchialgia (First case of report in China)

Purpose: We first report the effectiveness of microsurgical denervation of the spermatic cord for treatment of idiopathic chronic orchialgia in Chinese hospital.

Materials and Methods: A patient referred to our hospital diagnosed with left idiopathic chronic orchialgia is evaluated with a thorough medical and psychiatric history, physical examination and scrotal ultrasound. Conservative management failed. The patient had temporary pain relief after undergoing outpatient cord block for three times. Microsurgical denervation of the left spermatic cord was operated in March 24, 2011. Postoperative pain rating scales (0 to 10) were used to determine efficacy.

Results: Complete pain relief was noted at one week after operation. Followup was 6 months. Pain rating scales were still zero. No complications including testicular atrophy and hydrocele occurred.

Conclusions: Microsurgical denervation of the spermatic cord is a minimally invasive, safe and effective management option for treatment of idiopathic chronic orchialgia.