Microsurgical Spermatic Cord Denervation

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Microsurgical denervation of the spermatic cord is one treatment option for certain men with chronic testicular pain (orchalgia) or groin pain.

What causes chronic testicular or groin pain?

Prior vasectomy, hernia repair (herniorraphy), pelvic/scrotal trauma, recurrent infections of the epididymis or testis are some common causes.  The cause may also be idiopathic (unknown).  The pain has a spectrum that can range from dull mild ache, to severe intolerable pain.  The exact reason for pain with the above issues may result because pain fibers running in the spermatic cord require very little stimulation from irruption or inflammation of these nerves.

Which men are candidates for this procedure?

Men who have chronic debilitating pain which does not improve or resolve over time may be considered for spermatic cord block.  Such men may have a favorable response to microsurgical spermatic cord denervation.  Outcomes following the procedure depend on the involvement of specific nerves that may actually undergo a physical change in chronic pain (Wallerian degeneration).

microsurgical spermatic cord denervation at the Center for Male Health and Reproduction of Connecticut
What does microsurgical denervation include?

The procedure involves targeting nerve fiber concentrations in the spermatic cord while preserving the majority of the spermatic cord and vas deferens.  This may be performed with the operating microscope or with the DaVinci™ robot.

We are pleased to discuss additional aspects of chronic orchalgia and possible treatment options. Please contact us for additional information about microsurgical spermatic cord denervation.

Matthew Wosnitzer, M.D.