The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management.

@article{Ahmed1997TheIO,
  title={The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management.},
  author={Iftikhar Ahmed and Salah M. Rasheed and C White and Nick A Shaikh},
  journal={British journal of urology},
  year={1997},
  volume={79 2},
  pages={
          269-70
        }
}
OBJECTIVE To assess the incidence of chronic postvasectomy testicular pain (CPTP) and evaluate the use of denervation of the spermatic cord in its management. PATIENTS AND METHODS A retrospective postal survey of 560 patients (mean age 36 years, range 25-55; mean time since vasectomy 19 months, range 8-39) who underwent vasectomy between July 1992 and December 1994 was carried out to determine the incidence of CPTP. A prospective study was conducted in a further group of 17 patients (mean age… 

Microsurgical Denervation of Spermatic Cord for Chronic Idiopathic Orchialgia: Long-Term Results from an Institutional Experience

Iiopathic chronic orchialgia remains a difficult condition to manage and microsurgical denervation of spermatic cord should be considered as a first surgical approach to get rid of pain and sparing the testicle.

Does a positive response to spermatic cord block predict response to microdenervation of the spermatic cord for chronic scrotal content pain?

The amount of pain relief obtained after the cord block correlates with pain relief after undergoing a MDSC, and men with chronic orchialgia who have a positive response to a spermatic cord block are likely to have durable and complete resolution of symptoms after undergoing M DSC.

Surgical Denervation of Spermatic Cord for Chronic Scrotal Content Pain: A Modified Technique

Denervation of the spermatic cord without using surgical microscope is simple and feasible and shows comparable results to microsurgical denervation in treating patients with chronic scrotal content pain.

Microsurgical Testicular Denervation for the Treatment of Chronic Testicular Pain – Initial Results

Clinical treatment evolved from simple to more complex measures, and 70% of patients showed complete remission and 20% exhibited partial relief from pain over a twenty-four-month follow-up period.

A comparison of epididymectomy with vasectomy reversal for the surgical treatment of postvasectomy pain syndrome

In PVPS patients requiring surgical treatment, no significant difference was observed between the epididymectomy and VR groups in either the reduction in pain or the degree of patient satisfaction with surgical outcome.

Microdenervation of the spermatic cord for the treatment of chronic orchialgia refractory to conservative management

The goal of microsurgical denervation of the spermatic cord is to alleviate chronic orchialgia while sparing the testicle or preserving both its psychological and physiologic roles.
...