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Urology4 papers

Chronic gonococcal epididymo-orchitis

Last edited: 4/10/2026

Overview

Chronic scrotal content pain (CSCP) is a condition characterized by pain described in the testes with tenderness in the epididymis and/or spermatic cord 1. Management often requires a multidisciplinary approach and patient education regarding the underlying etiology 1.

Diagnosis

  • CSCP typically presents with pain in the testes and tenderness in the epididymis and/or spermatic cord 1.
  • Management

  • Patient education about the underlying etiology may facilitate discussion of treatment options 1.
  • Management may include lifestyle modification, pharmacologic management, and procedural intervention 1.
  • Many management options are described as off-label use due to a lack of specific data on CSCP 1.
  • Key Recommendations

  • Patient education regarding the underlying etiology of chronic scrotal content pain may promote discussion of treatment options 1. (Evidence: Expert opinion)
  • Management of chronic scrotal content pain may require a multidisciplinary approach 1. (Evidence: Expert opinion)
  • Management options for chronic scrotal content pain may include lifestyle modification, pharmacologic management, and procedural intervention 1. (Evidence: Expert opinion)
  • References

    1 Lai HH, Pontari MA, Argoff CE, Bresler L, Breyer BN, Chou R et al.. Male Chronic Pelvic Pain: AUA Guideline: Part III Treatment of Chronic Scrotal Content Pain. The Journal of urology 2025. link

    Original source

    1. [1]
      Male Chronic Pelvic Pain: AUA Guideline: Part III Treatment of Chronic Scrotal Content Pain.Lai HH, Pontari MA, Argoff CE, Bresler L, Breyer BN, Chou R et al. The Journal of urology (2025)

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