Current Sexual Health Reports

, Volume 10, Issue 4, pp 329–332 | Cite as

Spermatic Cord Denervation for Chronic Orchialgia

  • Sarah C. Vij
  • Daniel A. ShoskesEmail author
Male and Female Surgical Interventions (A Burnett and C Carson, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Male and Female Surgical Interventions


Purpose of Review

To review the surgical management of chronic scrotal content pain with microsurgical spermatic cord denervation (MSCD).

Recent Findings

The data continues to support the use of MSCD for patients with chronic idiopathic scrotal content pain. The use of the robotic approach to this operation is novel but may still be cost-prohibitive and more studies are needed to prove equivalence to the standard microsurgical approach.


MSCD has evolved into a very effective treatment for a difficult patient population with few options. It should be considered surgical standard of care for men with persistent chronic scrotal content pain whose symptoms are temporarily resolved with a spermatic cord block.


Testis pain Chronic orchialgia Scrotal content pain Microsurgery 


Compliance with Ethical Standards

Conflict of Interest

Sarah C. Vij declares no potential conflicts of interest.

Daniel A. Shoskes reports personal fees from Farr Labs and Aquinox.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyGlickman Urologic and Kidney Institute, Cleveland Clinic FoundationClevelandUSA

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