Evidence map›Paper›PMID 41772433›Full record

ReviewBasic and clinical andrology2026

Chronic scrotal content pain and viral orchiepididymitis: an overlooked hypothesis linking infection and Wallerian degeneration.

Thiago A Teixeira, Eduardo Zinoni Pato, Maria Christina W Avellar, Raul Sanchez, Igor V Coimbra, Joël R Drevet, Jorge Hallak

Erratum issuedAbstract readReview
In one paragraph

Review in Basic and clinical andrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Thiago A TeixeiraAndroscience, Science and Innovation Center in Andrology, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-6598-2442
Eduardo Zinoni PatoDivision of Urology, Department of Surgery, Hospital das Clinicas - University of São Paulo Medical School, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0003-2747-8402
Maria Christina W AvellarDepartment of Pharmacology, Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-4392-7554
Raul SanchezCenter of Excellence in Translational Medicine-Scientific and Technological Bioresource Nucleus (CEMT-BIOREN), Faculty of Medicine, Universidad de La Frontera, Temuco, Chile.ORCID http://orcid.org/0000-0003-4853-4282
Igor V CoimbraDivision of Urology, Department of Surgery, Hospital das Clinicas - University of São Paulo Medical School, Sao Paulo, Brazil.ORCID http://orcid.org/0009-0004-9508-3001
Joël R DrevetEVALSEM, GReD Institute, Faculty of Medicine, Université Clermont Auvergne, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0003-3077-6558
Jorge HallakAndroscience, Science and Innovation Center in Andrology, São Paulo, SP, Brazil. hallakj@androscience.com.br.ORCID http://orcid.org/0000-0002-6452-0502

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic scrotal content pain (CSCP) is a challenging clinical condition, often undiagnosed, and marked by persistent or intermittent pain that may be localized or generalized and significantly affect quality of life. Wallerian degeneration, an inflammatory process involving axonal degeneration, may underlie the mechanism. While bacterial infections are recognized contributors to CSCP, the role of viral infections is less understood.

methodsWe systematically searched PubMed, MEDLINE, and Web of Science for studies reporting associations between viral infections and scrotal or testicular pain. Of 142 identified records, 61 met the inclusion criteria and were analyzed qualitatively.

resultsOur review assesses whether testicular or epididymal viral infections might contribute to CSCP. The literature points to a possible link, though definitive histopathological evidence remains scarce. Tissue biopsies may provide greater diagnostic clarity and inform treatment decisions.

conclusionsAdditional research is needed to understand how viral infections affect testicular function, semen quality, and fertility, to improve patient outcomes globally.

Indexed as

Chronic neurogenic painChronic scrotal content painMale reproductive tractSemenTestisViral orchiepididymitisWallerian degeneration

Identifiers

PMID41772433
PMCPMC12952129

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.