Loading...
Not infrequently, men present to primary care clinicians with chronic scrotal pain. In this report, Mayo Clinic urologists present a retrospective case series of 110 patients referred for chronic scrotal pain (present for >3 months). Mean age was 45, mean symptom duration was 3 years, and most patients already had seen other physicians for this problem. Sixteen patients had undergone prior vasectomy.
Pain was unilateral in 80%. Inguinal, back, abdominal, and ejaculatory pain (in addition to scrotal pain) each were reported by 10% to 20% of patients. On palpation, two thirds of patients had tenderness of scrotal contents — sometimes localized to testicles, epididymis, or spermatic cord. Although 62% of patients had abnormalities on scrotal ul…