SỰ ẢNH HƯỞNG CỦA ĐAU BÌU MẠN TÍNH LÊN CHỨC NĂNG TÌNH DỤC NAM GIỚI

Abstract

Objective: Severe chronic scrotal pain greatly affects normal life activities in many ways. The study aimed to investigate the influence of chronic neurogenic scrotal pain on male sexual fuction. Methods: Observation study design. All patients with severe chronic scrotal pain, after excluding other causes, were indicated for surgery at the department of andrology, Binh Dan hospital from January 1, 2022 to November 31, 20223. Results: There were 39 patients with severe chronic scrotal pain with suspected neurologic cause unresponsive to medical treatment and underwent surgery. Mean age 26.2±4.3 years, duration of pain 2.3 ±1.6 years. 51.6% of patients felt scrotal pain affects sexual performance. Patients with severe scrotal pain with high pain scale (NRS 7-10 points) had an effect on erectile function compared with moderate pain group (NRS 0-6 points) (P<0.05). Decreased libido accounted for 34.1%  and decreased Testosterone was 37.5% of the patient group. Sexual activity causes the pain increase in 60.9%, ejaculation causes pain in 41.4%. The proportion of patients with erectile dysfunction was high in the high pain score group (7-9 points) (P=0.02) compared with the average pain score group. There was no statistically significant difference between the duration of intercourse and the severity of scrotal pain sumptom. Conclusion: Chronic scrotal pain can greatly affect sexual performance in men. More consideration should be given to access sexual fu of male patients with chronic scrotal pain. Sexual disorders associated with scrotal pain may be considered for surgical indications for chronic scrotal pain treatment.