ĐẶC ĐIỂM LÂM SÀNG CẬN LÂM SÀNG BỆNH NHÂN ĐAU BÌU MẠN TÍNH CẦN CAN THIỆP PHẪU THUẬT

Abstract

Objective: Chronic scrotal pain is a common and well recognized urology symptom of young patient presenting to doctor for care. This study was conducted to examine the clinical characteristics of neurogenic chronic scrotal pain syndrome patient that have surgery indication. Methods: Observation study design. All neurogenic chronic scrotal pain syndrome patient that has surgery indication at our andrology department from từ 01/01/2022 đến 31/11/2023. Results: 39 neurogenic chronic scrotal pain patients had surgery indication. Mean age 24,2 ± 4,3, mean duration of CSP of 2.3 ±1.6 years.  The location of the pain are: scrotum 41,3%, epididymitis testicular pain 24.6 %, inguinal pain 17.1%. Post Epididymo-orchitis was the most common physical finding (45.3%). Other common findings were post varicocelectomy (32.3%), after genital trauma (22.6%). Mean NRS was 6.8 ±2,3. 13/39 patients had high NRS pain score (7-10). Quality of life (QOL) of medium NRS pain score patient was 4.6 ± 4.0 and 6.75 ± 1.1 for high NRS pain score group. There were 25 (80,6%) men who reported the influence of pain on the daily work. Small Testicles were found in 43,5% men, varicocele vein diameter was 3.4±1,2 mm. 37,5% patients had low blood testosterone levels. Conclusions: Chronic scrotal pain mostly occurs in young patients with relatively large pain scores. Chronic scrotal pain causes also contributes to the reduction of testicular size and testosterone function, affecting quality of life. Therefore, chronic scrotal pain should be treated early if the chronic pain often has a significant negative impact on QOL.