Chronic pain in the testicles or surrounding structures is one of the most common complaints seen by urologists. It is not always simple and a comprehensive evaluation to lead to the correct treatment is crucial. A recent study was published in the journal Urology Practice discussing pain resolution outcomes with a procedure called an epididymectomy, where the epididymis, the structure that sperm transit through to learn to swim, is removed. As an expert in surgical therapies for testicular pain, Dr. Kavoussi was asked by the journal to write a commentary. Dr. Kavoussi emphasizes that surgical therapies for pain must be selected based on careful evaluations of individual patients to select the correct procedure for that individual to offer the best chance of successfully achieving pain resolution. It is all about patient selection. He also emphasized the importance of understanding where a man is in his fertility lifetime prior to performing an epididymectomy as that may impact the man’s fertility.
To read the full editorial commentary, click here: https://www.auajournals.org/doi/full/10.1097/UPJ.0000000000000515.01