Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre

Authors

  • Darby James Cassidy University of Northern British Columbia

DOI:

https://doi.org/10.5489/cuaj.2383

Keywords:

orchalgia, microsurgical, spermatic cord, denervation, chronic, Canada

Abstract

Introduction: Microsurgical spermatic cord denervation (MSCD) is an effective surgical technique to manage chronic orchalgia, but it has not been readily adopted by Canadian urosurgeons. This paper reviews the early experience of a single urosurgeon in Canada.

Methods: Nine consecutive testicular units underwent MSCD over a 24 month period. These patients underwent MSCD after ruling out reversible causes and after a successful diagnostic spermatic cord block.

Results: Of these patients, 77% (7/9) had a complete resolution and 22% (2/9) had a partial resolution of their pain symptoms following MSCD. There were no failures or complications.

Conclusions: MSCD is an effective, safe, and reproducible surgical technique that should be included in the treatment armamentarium for chronic orchalgia.

Downloads

Download data is not yet available.

Author Biography

Darby James Cassidy, University of Northern British Columbia

Staff Andrologist at the University Hospital of Northern BC.

Clinical Instructor in the Department of Urologic Sciences, University of British Columbia.

 

Downloads

Published

2015-02-09

How to Cite

Cassidy, D. J. (2015). Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre. Canadian Urological Association Journal, 9(1-2), e72–4. https://doi.org/10.5489/cuaj.2383

Issue

Vol. 9 No. 1-2 (2015): CUAJ February

Section

Case Series

License

You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:

  • Post the Article on any Web site
  • Translate or authorize a translation of the Article
  • Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
  • Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.

The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.

You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.

The CUA also requires you to warrant the following:

  • That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
  • That all individuals who have made a substantive contribution to the article are acknowledged;
  • That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
  • That the Article does not libel or violate the privacy rights of any third party.