Evidence map›Paper›PMID 34291422›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2021

Resolution of post-traumatic chronic testicular pain in a pediatric patient after microsurgical denervation of the spermatic cord: a case report.

Mael Zuercher, Lisa Nicole D'Alessandro, Stephen Charles Brown, Armando Lorenzo, David Levin

Open access · bronzeAbstract readCase Reports
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 26% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Transforming Chronic Pain Care Through Telemedicine: An Italian Perspective.International journal of environmental research and public health · 2024
    Article
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

5 authors at 1 institution in 1 country.

Mael ZuercherDepartment of Anesthesia and Pain Medicine, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada. mael.zuercher@gmail.com.ORCID http://orcid.org/0000-0002-9644-2940
Lisa Nicole D'AlessandroDepartment of Anesthesia and Pain Medicine, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
Stephen Charles BrownDepartment of Anesthesia and Pain Medicine, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
Armando LorenzoDepartment of Urology, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
David LevinDepartment of Anesthesia and Pain Medicine, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
University of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic scrotal content pain, chronic orchialgia, or testicular pain can present after trauma, vasectomy, and hernia repair, among other triggers. Microsurgical denervation of the spermatic cord is an option for definitive pain control. While this practice is established in adult urology, access to diagnostic intervention and definitive denervation surgery is limited in the pediatric population. CLINICAL FEATURES: We report a case of definitive resolution of testicular pain with microsurgical denervation of the spermatic cord in a pediatric patient with post-traumatic chronic orchialgia that significantly reduced his daily activities and worsened his anxiety prior to this treatment. The patient underwent attempts at conservative medication-based management, followed by diagnostic spermatic cord nerve block before definitive denervation surgery.

conclusionsThe incidence of chronic pain in pediatrics is substantial and is estimated to be around 20%. Orchialgia remains difficult and problematic to treat. Mental health diagnoses such as anxiety and depression are also significantly associated with chronic pain. Following consideration and implementation of steps for all these concerns, a diagnostic block and microsurgical denervation led to successful resolution of chronic testicular pain in a pediatric patient.

Indexed as

Chronic PainPediatricsSpermatic CordAdultChildDenervationHumansMaleMicrosurgeryMicrosurgical denervationPainPediatric patientPost-traumaticSpermatic cordUnilateral testicular pain

Identifiers

PMID34291422
OpenAlexW3183875952

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.