Mp11-12 Trends in Medical and Surgical Management of Orchialgia

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia (MP11)1 May 2024MP11-12 TRENDS IN MEDICAL AND SURGICAL MANAGEMENT OF ORCHIALGIA Sarah Strausser, Raidizon Mercedes, and Susan M. MacDonald Sarah StrausserSarah Strausser , Raidizon MercedesRaidizon Mercedes , and Susan M. MacDonaldSusan M. MacDonald View All Author Informationhttps://doi.org/10.1097/01.JU.0001008564.85995.11.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Testicular pain is a common urological consult that can often be difficult to treat. Patients who are diagnosed with orchialgia undergo a wide range of treatments. This study examines the distribution and trends over time in the treatment of orchialgia using a national database. METHODS: The TriNetX database was queried for cases of testicular pain using the Current Procedural Terminology (CPT) code N50.18 in adults 18 years and older. Those with testicular neoplasm or prior orchiectomy were excluded. Patients who were treated with anti-microbials or neuropathic pain medications within 3 months of diagnosis or with the following surgery [vasovasostomy (55400), varicocelectomy (55530), orchiectomy (54520), epididymectomy (1008591), orchiopexy (0VSC4ZZ), spermatocelectomy (0VB0ZZ), and surgical denervation (55899)] any time after diagnosis were identified. Data was collected for each treatment from 2015 to 2023 and the proportion of patient undergoing treatment was calculated. RESULTS: 245,121 males with testicular pain were identified. The majority of patients were treated with either anti-microbials (35.8%) or neuropathic pain medications (40.9%) (Figure 1). A total of 4,103 (1.7%) underwent surgical management, a small proportion of those diagnosed with testicular pain. Varicocelectomy was the most common procedure performed for this indication (Figure 2). The proportion of patients undergoing orchiectomy over time remained stable, while there was a small trend towards increase in spermatic cord denervation (Figure 3). CONCLUSIONS: Anti-microbials are still commonly prescribed for testicular pain. Despite the high success rates of microsurgical denervation, rates of orchiectomy for testicular pain remain stable. Download PPTDownload PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e155 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sarah Strausser More articles by this author Raidizon Mercedes More articles by this author Susan M. MacDonald More articles by this author Expand All Advertisement PDF downloadLoading ...