Chronic scrotal pain of at least 3 months duration arising from any intrascrotal structure and negatively affecting quality of life.
Pain may be intermittent or constant, unilateral o...
Scrotal pain of at least 3 months duration
Often dull, throbbing, of varying intensity
Pain can be unilateral or bilateral.
Interferes with work, social, and/or sexual activities
Pain on ...
Avoid aggravating activities.
Consider a multidisciplinary approach to include primary care, urology, pain-management specialists, psychiatry, and physical therapy.
Evaluate response to treatment.
Consider use of Chronic Orchalgia Symptom Index (COSI)
Modify treatment accordingly.
Refer to specialists as indica...
Calixte N, Brahmbhatt J, Parekattil S. Chronic testicular and groin pain: pathway to relief. Curr Urol Rep. 2017;18(10):83. PMID: 28866773.
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N50.8 Other specified disorders of male genital organs
N45.2 Orchitis
N41.9 Inflammatory disease of prostate, unspecified
N45.1 Epididymitis
S39.94XA Unspecified injury of external genitals, in...
The use of empirical antibiotics to treat orchialgia in the absence of a proven infection is not supported by evidence.
Scrotal ultrasound is the initial image of choice for a suspected...
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