Pediatric chronic orchalgia.
J Pediatr Urol
; 8(4): 421-5, 2012 Aug.
Article
em En
| MEDLINE
| ID: mdl-22056309
ABSTRACT
INTRODUCTION:
Chronic orchalgia, defined as testicular pain lasting > 3 months and interfering with normal activities, is neglected in the pediatric literature. We describe our experience with the evaluation and treatment of pediatric chronic orchalgia patients. MATERIALS ANDMETHODS:
Charts were screened to identify patients meeting the criteria for chronic orchalgia. Charts were further reviewed to record the history and physical exam, diagnostic tests, treatment and outcomes.RESULTS:
65/982 patients met the criteria for chronic orchalgia. Mean age was 13 and mean duration of pain was 8.6 months. Physical exam findings were normal in 46 patients (70%). 59 patients were managed conservatively with resolution (10/59, 17%) or a single visit (36/59, 61%) in 78%. 13/59 (22%) patients showed either minor improvement or no change in symptoms. 5 non-responding patients were managed by the anesthesia pain service; 4 received epidurals with or without additional oral pain medications with 3 experiencing significant pain improvement.CONCLUSION:
Conservative management of chronic orchalgia allowed symptoms to subside in the majority of cases. We recommend patients be treated with conservative measures for 1-2 months. If this fails, early involvement of the anesthesia pain service can offer treatment modalities such as epidural analgesia. Surgical management in the face of a normal physical exam does not seem to have a role.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças Testiculares
/
Dor Crônica
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article