Conditions & Treatments

Testicular Pain Treatment Chattanooga, TN

Treat Testicular Pain Through Medicine & Surgery

testicular pain in chattanooga TNTesticular pain is pain or discomfort in one or both testicles that can spread into the groin. There are various conditions that cause testicular pain. Some are medical emergencies but most are not. Contrary to popular belief, there are excellent treatments available for testicular pain through medicine and surgery. You do not have to live with pain, and your first step to getting pain-free should involve a urology consultation.

There are two types of testicular pain, acute and chronic. Acute testicular pain occurs immediately and it is something you will definitely notice. All medical emergencies related to the testicles are considered acute.

Chronic testicular pain refers to pain lasting over three months. Pain is either dull or sharp, can come and go, and can significantly impact your lifestyle. Contact Dr. Shrid for treatment for you testicular pain at our Chattanooga, TN office, we often treat patients from Knoxville, Northern Georgia & Huntsville, AL too.

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What is spermatic cord denervation?

This is a minimally invasive surgical procedure performed by Dr. Shridharani. Also known as cord stripping, spermatic cord denervation is used to resolve or reduce chronic testicular pain in men who have not responded to conservative treatment approaches. The goal of these surgeries is to remove the small nerves in the spermatic cord. This eliminates or reduces the nerves causing the chronic pain messages.

What causes testicular pain?

Even a minor injury can cause pain because the testicles are very sensitive. Common causes are injury, infection, swelling of the sperm ducts or testicles, and a twisting of the testicles called testicular torsion, which can cut off the blood supply.

Testicular torsion affects young men between the ages of 10 and 20. Torsion is a medical emergency that requires immediate treatment. Untreated testicular torsion can result in the loss of the affected testicle. If surgery is performed within 6 hours, most testicles can be saved.

Acute testicular pain can be due to:

  • Testicular Pain Treatment Chattanooga, TN | Dr. ShridharaniEpididymis cysts containing dead sperm cells (spermatocele). The epididymis is the tube that collects and transports sperm.
  • Inflammation of the epididymis usually due to an infection or inflammation.
  • A hydrocele is a fluid-filled sac in the scrotum.
  • Inflammation of the testicles that causes painful swelling often due to mumps or infection from bacteria, viruses and certain STDs.
  • An inguinal hernia or kidney stone.
  • Testicular cancer will cause pain in about 10% of men.
  • Direct trauma to the testicles can cause a hematocele ( a collection of blood around the testicles).
  • The testicular rupture caused by external trauma can result in blood leaking into your scrotum.

Chronic testicular pain can be due to:

  • A varicocele (Varicose veins of the scrotum)
  • Inflammation of the epididymis usually due to an infection or inflammation
  • Orchitis
  • Prostatitis
  • Back/Spinal nerve injury
  • Inguinal hernia repair with mesh can cause nerve entrapment leading to chronic pain
  • Hydrocele

When should you call a doctor?

  • When you have sudden, severe testicular pain you should seek immediate medical care. If you go to the emergency room, call your doctor.
  • When you have had an injury or trauma to the scrotum, and you still have pain one hour later.
  • When your pain is accompanied by nausea or vomiting.
  • When you feel a lump in your scrotum.
  • When you have a fever with testicular pain.
  • When your scrotum is warm, tender, swollen and red.
  • When you have been in contact with someone who has the mumps.
  • When you have chronic testicular pain that affects your daily activities or lifestyle.

How is testicular pain diagnosed?

Testicular Pain Treatment Chattanooga, TN | Dr. ShridharaniYour doctor will conduct an exam of your groin, testicles, and abdomen. You will be asked about the circumstances surrounding your pain, whether you have suffered an injury, how long you have had this pain, how it started, where the pain is located, how severe and constant the pain is, whether your pain goes into your abdomen or back, and any other symptoms. The cause of your pain can be diagnosed using blood tests, urinalysis, urine culture and imaging studies such as an ultrasound.

Testicular pain should not be ignored. It may be directly related to your testicles or may lead to the discovery of another health condition.

What treatment is available for testicular pain?

Treatment depends on the cause of the pain. You must be examined by a doctor to determine the course of treatment. The objective of treatment is to restore healthy function, avoid complications and prevent permanent damage that can result in infertility.

Chronic testicular pain can be extremely difficult to manage by healthcare providers and individuals. Luckily, advances in our understanding of testicular anatomy have improved our ability to treat testicular pain. Dr. Shridharani is one of the few microsurgeons in the U.S. offering microsurgical spermatic cord denervation. Through 2 cm groin incisions, the tissue that inflamed nerves travel through can be cut, preventing the pain signals from traveling from the testis. This procedure is minimally invasive, does not compromise blood flow to the testicles and therefore fertility, and erections are not impaired. Initially, numbing medication is given in the urology clinic to see if the procedure will be successful. If the response to the numbing medication is good, then the procedure has an 80% chance of helping your pain go away permanently.

If you suffer from chronic testicular pain, seeking specialist help is the first step in improving the quality of your life. Dr. Shridharani has taken a keen interest in managing urologic conditions that affect the quality of men’s lives. He has excellent outcomes treating testicular pain and works within a network of medical specialists and physical therapists to get you pain-free as soon as possible.

How is spermatic cord denervation performed?

Dr. Shridharani performs these microsurgeries as outpatient procedures. The procedure takes approximately 45 minutes. Dr. Shridharani uses initial numbing in our urology clinic to see if the nerves can be targeted. If this numbing is successful, he’s found the surgery to be highly successful.

The chronic pain is usually originating in the patient’s spermatic cord, which contains blood vessels and tiny nerves and is connected to the abdomen. Dr. Shridharani starts by making a small two-inch incision in the groin to access the spermatic cord. Working through an operating microscope, he separates all the structures in the spermatic cord, including the veins, nerves, and vas deferens. The arteries to the testicle and the lymph glands are left untouched. He then removes the small nerves in the spermatic cord, removing the source of the pain signals. He then closes the incision and the procedure is complete.

How does spermatic cord denervation help with chronic testicular pain?

These surgeries remove the small nerves in the spermatic cord. Doing so removes the source of the patient’s chronic pain.

How successful is spermatic cord denervation?

Testicular Pain Treatment Chattanooga, TN | Dr. ShridharaniStudies on these surgeries have shown a high success rate without any impact on the physiological function of the testes. According to the studies, approximately 75 percent of patients receive complete pain relief, and another 9 percent have partial pain relief. The results are immediate.

For men who have suffered from chronic testicular pain that has not responded to conservative treatments, these new surgeries with Dr. Shridharani can be life-changing.

Does spermatic cord denervation surgery impact fertility and other functions?

No, these are minimally invasive surgeries. They do not compromise blood flow to the testicles, so both fertility and erections are not impaired.

What is recovery like after these surgeries?

Patients simply have to take it easy at home for between 2 and 5 days. You need to avoid strenuous activities. From there, you can play it by ear as to when you can return to work and other normal activities.


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Dr. Shridharani proudly serves Chattanooga and Knoxville TN, Northern Georgia, Huntsville AL and the surrounding areas with advanced treatments for testicular pain. Call (423) 778-4MEN (4636) to schedule an appointment today!

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