Microsurgical testicular denervation for the treatment of chronic testicular pain initial results
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/18029 |
Resumo: | INTRODUCTION: Chronic testicular pain remains an important challenge for urologists. Currently, the treatment plan is primarily empirical, with the first approach consisting of clinical measures. However, some patients remain in pain despite a conservative treatment protocol and, for them, it is possible to perform a surgical procedure that involves severing the scrotal and spermatic branches of the genitofemoral and ilioinguinal nerve fibers. METHODS: In our institution, 60 patients were evaluated and treated for idiopathic chronic testicular pain between January 2003 and July 2007. Priority was give to clinical treatment, which evolved from simple to more complex measures. Microsurgical treatment was performed on those who experienced no considerable pain relief (10 individuals in our study). RESULTS: Over a twenty-four-month follow-up period, 70% of patients showed complete remission and 20% exhibited partial relief from pain. |
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Microsurgical testicular denervation for the treatment of chronic testicular pain initial results Testicular diseasesPainDenervationMicrosurgeryUrologic surgical procedures INTRODUCTION: Chronic testicular pain remains an important challenge for urologists. Currently, the treatment plan is primarily empirical, with the first approach consisting of clinical measures. However, some patients remain in pain despite a conservative treatment protocol and, for them, it is possible to perform a surgical procedure that involves severing the scrotal and spermatic branches of the genitofemoral and ilioinguinal nerve fibers. METHODS: In our institution, 60 patients were evaluated and treated for idiopathic chronic testicular pain between January 2003 and July 2007. Priority was give to clinical treatment, which evolved from simple to more complex measures. Microsurgical treatment was performed on those who experienced no considerable pain relief (10 individuals in our study). RESULTS: Over a twenty-four-month follow-up period, 70% of patients showed complete remission and 20% exhibited partial relief from pain. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2009-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1802910.1590/S1807-59322009000500004Clinics; Vol. 64 No. 5 (2009); 393-396 Clinics; v. 64 n. 5 (2009); 393-396 Clinics; Vol. 64 Núm. 5 (2009); 393-396 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/18029/20094Oliveira, Rafael Garcia deCamara, CesarAlves, João de Magalhães Avancini FerreiraCoelho, Rafael FerreiraLucon, Antonio MarmoSrougi, Miguelinfo:eu-repo/semantics/openAccess2012-05-22T18:52:05Zoai:revistas.usp.br:article/18029Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T18:52:05Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
title |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
spellingShingle |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results Oliveira, Rafael Garcia de Testicular diseases Pain Denervation Microsurgery Urologic surgical procedures |
title_short |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
title_full |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
title_fullStr |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
title_full_unstemmed |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
title_sort |
Microsurgical testicular denervation for the treatment of chronic testicular pain initial results |
author |
Oliveira, Rafael Garcia de |
author_facet |
Oliveira, Rafael Garcia de Camara, Cesar Alves, João de Magalhães Avancini Ferreira Coelho, Rafael Ferreira Lucon, Antonio Marmo Srougi, Miguel |
author_role |
author |
author2 |
Camara, Cesar Alves, João de Magalhães Avancini Ferreira Coelho, Rafael Ferreira Lucon, Antonio Marmo Srougi, Miguel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Rafael Garcia de Camara, Cesar Alves, João de Magalhães Avancini Ferreira Coelho, Rafael Ferreira Lucon, Antonio Marmo Srougi, Miguel |
dc.subject.por.fl_str_mv |
Testicular diseases Pain Denervation Microsurgery Urologic surgical procedures |
topic |
Testicular diseases Pain Denervation Microsurgery Urologic surgical procedures |
description |
INTRODUCTION: Chronic testicular pain remains an important challenge for urologists. Currently, the treatment plan is primarily empirical, with the first approach consisting of clinical measures. However, some patients remain in pain despite a conservative treatment protocol and, for them, it is possible to perform a surgical procedure that involves severing the scrotal and spermatic branches of the genitofemoral and ilioinguinal nerve fibers. METHODS: In our institution, 60 patients were evaluated and treated for idiopathic chronic testicular pain between January 2003 and July 2007. Priority was give to clinical treatment, which evolved from simple to more complex measures. Microsurgical treatment was performed on those who experienced no considerable pain relief (10 individuals in our study). RESULTS: Over a twenty-four-month follow-up period, 70% of patients showed complete remission and 20% exhibited partial relief from pain. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18029 10.1590/S1807-59322009000500004 |
url |
https://www.revistas.usp.br/clinics/article/view/18029 |
identifier_str_mv |
10.1590/S1807-59322009000500004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/18029/20094 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 64 No. 5 (2009); 393-396 Clinics; v. 64 n. 5 (2009); 393-396 Clinics; Vol. 64 Núm. 5 (2009); 393-396 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222754740371456 |