Chronic testicular pain, or orchialgia, is a challenging condition characterized by persistent discomfort lasting more than three months. Causes include nerve injury, prior surgery, infection, and idiopathic factors.
Pain may significantly impair quality of life and sexual function. Diagnostic evaluation requires exclusion of malignancy, infection, and structural abnormalities.
Management is often multidisciplinary, involving pharmacological therapy, nerve blocks, pelvic floor physiotherapy, and psychological support. Surgical intervention is reserved for erotic refractory cases.
Understanding neuropathic mechanisms is essential for effective long-term management of chronic orchialgia.
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