Investigating and managing chronic scrotal pain
Autor: | S R Keoghane, M E Sullivan |
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Rok vydání: | 2010 |
Předmět: |
Male
endocrine system Pediatrics medicine.medical_specialty Testicular pain Pain Physical examination urologic and male genital diseases Quality of life Scrotum Testis Vasectomy medicine Humans Pain Management Life Style Physical Examination Referral and Consultation Physical Therapy Modalities General Environmental Science Pain Postoperative medicine.diagnostic_test urogenital system business.industry General Engineering General Medicine Syndrome Surgery Pain Clinics medicine.anatomical_structure Sexual dysfunction Chronic Disease Etiology General Earth and Planetary Sciences medicine.symptom business Scrotal Pain |
Zdroj: | BMJ (Clinical research ed.). 341 |
ISSN: | 1756-1833 |
Popis: | Summary points Few data are available on the true incidence of chronic scrotal pain and most figures relate to post-vasectomy pain syndrome. However, a crude incidence of 350-400 cases of chronic scrotal pain per 100 000 men per year has been estimated on the basis of a questionnaire among Swiss urologists.1 Data on the impact of scrotal pain on quality of life are lacking. These patients are challenging to both the general practitioner and urologist, and a clear understanding of the aetiology and unpredictable course of this common condition is needed when treating them. Chronic scrotal pain refers to an ill understood complex of symptoms. Various terms have been used to describe the condition including orchalgia and orchidynia, which really refer to the testicle itself, and chronic epididymitis. Both the European Urological Association (EAU) and the International Continence Society have adopted the generic term scrotal pain syndrome to include testicular pain syndrome, post-vasectomy pain syndrome, and epididymal pain syndrome.2 3 4 The condition is defined as persistent or recurrent episodic scrotal pain associated with symptoms suggestive of urinary tract infection or sexual dysfunction without confirmed epididymo-orchitis or other obvious pathology.4 #### Sources and selection criteria We searched Medline from 1975 to 2010 using the terms “chronic scrotal pain”, “orchalgia”, “testicular pain”, and “orchidynia”. We found a mixture of retrospective and prospective studies of intermediate quality. We also used the 2009 guidelines from the European … |
Databáze: | OpenAIRE |
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