Department of Urology, The First Affiliated Hospital, Sun Yat-Sen
University, Guangzhou, Guangdong 510700, PR 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
Conclusions: Microsurgical denervation of the spermatic cord
is a minimally invasive, safe and effective management option for
treatment of idiopathic chronic orchialgia.