Evidence map›Paper›PMID 32754451›Full record

ReviewResearch and reports in urology2020

Management of Chronic Orchialgia: Challenges and Solutions - The Current Standard of Care.

Sijo J Parekattil, Onuralp Ergun, Ahmet Gudeloglu

Registry-linked trialAbstract readReview
In one paragraph

Review in Research and reports in urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07035119 (Transcranial Magnetic Stimulation for Chronic Scrotal Content Pain), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07035119 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Transcranial Magnetic Stimulation for Chronic Scrotal Content Pain

TypeinterventionalSponsorMedical University of South CarolinaRan2026 to 2030Enrolled50ConditionsScrotal PainArmsTranscranial magnetic stimulation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sijo J ParekattilPUR Clinic and University of Central Florida, Clermont, FL, USA.ORCID 0000-0001-6847-8826
Onuralp ErgunDepartment of Urology, Hacettepe University, Ankara, Turkey.ORCID 0000-0001-6433-4534
Ahmet GudelogluDepartment of Urology, Hacettepe University, Ankara, Turkey.ORCID 0000-0003-2927-9597

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic scrotal content pain (CSP) or chronic orchialgia can be debilitating for patients and difficult to treat. There is a paucity of structured treatment algorithms to approach this difficult condition.

methodsA review of the literature was performed. Conservative treatment options are presented and then targeted surgical interventions that the urologist may perform are then presented in a structured algorithm format. Many of these patients may obtain a significant reduction in pain with some of these treatments.

resultsThis review presents the pathophysiology, a new assessment tool, and various treatment options available for CSP patients, such as targeted spermatic cord blocks, targeted and standard microsurgical denervation of the spermatic cord (77-100% success rates), ultrasound-guided peri-spermatic cord and ilioinguinal cryoablation (59-75% success rates), scrotox (botox) (56-72% success rates), targeted ilioinguinal and iliohypogastric peripheral nerve stimulation (72% success rate), radical orchiectomy (20-75% success rate), targeted robotic-assisted intra-abdominal denervation (71% success rate) and vasectomy reversal (69-100% success rates).

conclusionA structured and evidence-based approach to help urologists manage patients with chronic orchialgia or scrotal content pain is presented.

Indexed as

botoxdenervation of the spermatic cordgroin painperi-spermatic cord cryoablationscrotal content painstimroutertesticular pain

Identifiers

PMID32754451
PMCPMC7351977

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.