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Testicular Pain and Groin Pain

Treating Chronic Testicular or Groin Pain in Men

Chronic testicular pain or groin pain can keep you from doing the activities you enjoy. The pain may range from mild irritation to severe debilitating pain that can significantly impact your life. At Orlando Health Medical Group Urology PUR Clinic, our goal is to provide you with maximum comfort and relief with minimal risk to your quality of life as we work to treat your pain.

Causes of Chronic Testicular and Groin Pain

Doctors sometimes don’t know the cause of chronic testicular or groin pain. However, a small percentage of men or women who have previously undergone surgical procedures, experienced trauma, or developed an infection in the testicle or groin area may experience chronic pain.

One theory is that the sensory nerve fibers that run along the spermatic cord may become more sensitive after a vasectomy, hernia surgery or kidney removal, scrotal or pelvic trauma, or recurrent epididymal/testicular infections. Sometimes irritation or inflammation of these nerve fibers can cause the pain.

Treatments for Chronic Testicular and Groin Pain

Your chronic testicular or groin pain is unique to you. Our physicians have developed a classification system to measure or assess your pain to better address your needs. Learn more about our steps to treat testicular pain.

We usually start with conservative, nonsurgical therapies, and you may find your pain goes away after a period of observation ranging from a few months to a few years. However, if your pain significantly impacts your daily activities, we may recommend surgical intervention after the observation period.

Our research shows that a condition called Wallerian degeneration may cause damage to three specific nerve fibers on the spermatic cord, resulting in chronic testicular or groin pain. Our experts do not want to aggravate your pain by further stimulating already dysfunctional nerve fibers. Our detailed and focused treatments specifically target using minimally invasive techniques.

Vasectomy Reversal Can Help with Chronic Groin, Testicular or Post-Vasectomy Pain

If you have previously undergone a vasectomy, you may experience chronic testicular or groin pain. The pain can be a mild irritation, or it can be debilitating and require chronic pain medication. In some cases, vasectomy reversal can also treat pain that occurs after ejaculation or episodic pressure sensations. Our testicular pain or groin pain specialists are dedicated to treating you, and we have several treatment options, including:

  • Mapped segmental spermatic cord blocks
  • Robotic-assisted microsurgical targeted denervation of the spermatic cord
  • Robotic-assisted microsurgical vasectomy reversal with bio-wrap
  • Targeted micro-cryoablation of the peri-spermatic cord
  • Targeted Botox block of the peri-spermatic cord

Why Choose Orlando Health Medical Group Urology PUR Clinic

We provide a unique multidisciplinary approach to treat your chronic testicular or groin pain. Our compassionate professionals understand this is a difficult condition to treat. Sometimes it requires an ongoing trial and error approach to reduce your pain levels. We strive to provide the most innovative and reliable treatment options available to manage your condition. We work with you to develop a collaborative treatment plan and options to alleviate your pain and get you back to living your life.

Peer-Reviewed Publications on Chronic Groin/Testicular Pain

  • Parekattil SJ, Gudeloglu A, Brahmbhatt JV, et al.: Trifecta Nerve Complex – Potential Anatomic Basis for Microsurgical Denervation of the Spermatic Cord for Chronic Orchialgia. Journal of Urology. 2013 Jan 22.
  • Parekattil SJ, Brahmbhatt JV: Robotic approaches for male infertility and chronic orchialgia microsurgery. Curr Opin Urol. 2011 Nov;21(6):493-9.