Page 11 - Best Practice Report: Canadian Urological Association best practice report on chronic scrotal pain

BPR: Chronic scrotal pain

Conservative management:
Watchful waiting
Scrotal support
Activity modification
Local heat or cold therapy

Nociceptive pain: Possible or definite
Focal tenderness neuropathic pain
of the epididymis
or testicles

Epididymal
infection
suspected

Empiric Anti- TCA, gabapentin,
antibiotic inflammatories or pregabalin
therapy
(4-week trial) (4–6-week trial)
(4-week trial)

Repetitive injections
Local nerve block
if successful
Fig. 2. Conservative and medical management of idiopathic chronic scrotal pain. TCA: tricyclic
antidepressant.
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