Instagram
Follow us on Instagram for updates
Chronic Orchialgia (Chronic Testicular Pain) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow offers specialised evaluation and targeted treatment for Chronic Orchialgia (Chronic Testicular Pain), a condition characterised by persistent or recurrent testicular discomfort for more than 3 months. Under the care of Dr. Aditya Sengar (Urologist), we follow a systematic diagnostic approach including scrotal Doppler, infection screening, nerve pathway evaluation and assessment for structural abnormalities. Treatment ranges from medical therapy and nerve blocks to advanced microsurgical spermatic cord denervation.
What is Chronic Orchialgia?
Chronic orchialgia is defined as testicular pain lasting longer than 3 months,
without an identifiable acute
cause such as infection or torsion. The pain may be dull, aching, sharp or
radiating to the groin, abdomen or
thigh.
Causes may include varicocele, prior trauma, post-surgical nerve entrapment, chronic epididymitis, inguinal hernia repair, renal stone radiation or neuropathic pain from the spermatic cord. Many patients require detailed evaluation to differentiate structural from neuropathic causes.
Causes may include varicocele, prior trauma, post-surgical nerve entrapment, chronic epididymitis, inguinal hernia repair, renal stone radiation or neuropathic pain from the spermatic cord. Many patients require detailed evaluation to differentiate structural from neuropathic causes.
Neuropathic Pain (Nerve-Related)
A common cause of chronic orchialgia is irritation or entrapment of
nerves within the spermatic cord.
Patients may describe burning, hypersensitivity or radiating pain. A
spermatic cord block can help
confirm neuropathic origin.
Post-Surgical Testicular Pain
Pain may develop after vasectomy, hernia repair, hydrocele surgery or
varicocelectomy due to nerve
entrapment or scar tissue. Proper diagnostic evaluation determines
whether surgical denervation is
suitable.
Epididymal or Testicular Pathology
Chronic epididymitis, calcifications, sperm granulomas and mild
infections may cause prolonged pain.
Evaluation includes ultrasound and laboratory testing to guide
appropriate treatment.
Referred Pain from Other Organs
Pain may originate from kidney stones, spinal disorders or nerve
compression in the lower back or
pelvis. Identifying the true source is essential to avoid unnecessary
treatment.
Causes & Risk Factors for Chronic Orchialgia
Common contributors to chronic testicular pain include:
1. Neuropathic Pain – Irritation of ilioinguinal, genitofemoral or spermatic cord nerves.
2. Varicocele – Dilated veins causing dull, dragging pain.
3. Chronic Epididymitis – Low-grade persistent inflammation.
4. Post-Surgical Pain – Following hernia repair, vasectomy or scrotal surgeries.
5. Trauma – Direct injury causing lasting discomfort.
6. Referred Pain – From spine, ureter or abdominal pathology.
A structured evaluation helps determine whether the cause is structural, inflammatory or neuropathic.
1. Neuropathic Pain – Irritation of ilioinguinal, genitofemoral or spermatic cord nerves.
2. Varicocele – Dilated veins causing dull, dragging pain.
3. Chronic Epididymitis – Low-grade persistent inflammation.
4. Post-Surgical Pain – Following hernia repair, vasectomy or scrotal surgeries.
5. Trauma – Direct injury causing lasting discomfort.
6. Referred Pain – From spine, ureter or abdominal pathology.
A structured evaluation helps determine whether the cause is structural, inflammatory or neuropathic.
Why Choose Swastik Urology Clinic for Chronic Orchialgia Treatment?
Swastik Urology Clinic offers advanced evaluation and
personalised treatment plans:
• Specialist Evaluation by Dr. Aditya Sengar
Includes detailed history, physical examination, Doppler ultrasound and nerve mapping.
• Spermatic Cord Block for Diagnosis & Relief
A minimally invasive test that predicts response to definitive surgical treatment.
• Comprehensive Medical Therapy Options
Anti-inflammatory agents, neuropathic pain medications, antibiotics (when indicated).
• Microsurgical Expertise
Microsurgical spermatic cord denervation using magnification ensures nerve preservation and targeted relief.
• Long-Term Pain Management Strategies
Including physiotherapy guidance, lifestyle adjustment and ongoing monitoring.
• Specialist Evaluation by Dr. Aditya Sengar
Includes detailed history, physical examination, Doppler ultrasound and nerve mapping.
• Spermatic Cord Block for Diagnosis & Relief
A minimally invasive test that predicts response to definitive surgical treatment.
• Comprehensive Medical Therapy Options
Anti-inflammatory agents, neuropathic pain medications, antibiotics (when indicated).
• Microsurgical Expertise
Microsurgical spermatic cord denervation using magnification ensures nerve preservation and targeted relief.
• Long-Term Pain Management Strategies
Including physiotherapy guidance, lifestyle adjustment and ongoing monitoring.
Chronic Orchialgia Treatment Options at Swastik Urology Clinic
Treatment depends on whether the pain is structural, inflammatory or
neuropathic:
1. Medical Therapy
• Anti-inflammatory medications
• Neuropathic pain modulators (gabapentinoids, TCAs)
• Antibiotics for chronic epididymitis
2. Spermatic Cord Block
• Diagnostic and therapeutic injection
• Helps predict success of microsurgical denervation
3. Treatment of Underlying Conditions
• Varicocele treatment
• Infection management
• Stone disease management
4. Microsurgical Spermatic Cord Denervation (MSCD)
• Selective removal of pain fibers
• High success rate for neuropathic orchialgia
5. Supportive & Long-Term Strategies
• Lifestyle modification
• Avoiding triggers such as prolonged sitting or tight clothing
• Physiotherapy for musculoskeletal contributors
Each case is evaluated carefully to ensure the safest and most effective treatment pathway.
1. Medical Therapy
• Anti-inflammatory medications
• Neuropathic pain modulators (gabapentinoids, TCAs)
• Antibiotics for chronic epididymitis
2. Spermatic Cord Block
• Diagnostic and therapeutic injection
• Helps predict success of microsurgical denervation
3. Treatment of Underlying Conditions
• Varicocele treatment
• Infection management
• Stone disease management
4. Microsurgical Spermatic Cord Denervation (MSCD)
• Selective removal of pain fibers
• High success rate for neuropathic orchialgia
5. Supportive & Long-Term Strategies
• Lifestyle modification
• Avoiding triggers such as prolonged sitting or tight clothing
• Physiotherapy for musculoskeletal contributors
Each case is evaluated carefully to ensure the safest and most effective treatment pathway.
When should I consult a urologist for chronic testicular pain?
You should seek evaluation if testicular pain persists longer than 3 months, recurs frequently, worsens over time, or interferes with daily activities. Pain associated with swelling, fever, or urinary symptoms requires prompt medical attention.
Is ultrasound necessary for chronic orchialgia?
Yes. Scrotal Doppler ultrasound is essential to evaluate vascular flow, varicocele, epididymal pathology or structural abnormalities. It helps exclude urgent causes and guides appropriate treatment planning.
What is the success rate of spermatic cord denervation?
Microsurgical spermatic cord denervation provides significant long-term pain relief in 70–90% of patients who show a positive response to spermatic cord block. It is a safe and effective option for selected cases of neuropathic orchialgia.
Can chronic orchialgia be cured permanently?
Many patients achieve significant and sustained relief with appropriate diagnosis, medical therapy, correction of underlying conditions and microsurgical denervation. Long-term outcome depends on the cause and timely initiation of treatment.