CHRONIC TESTICULAR PAIN

Chronic testicular pain affects nearly 100,000 men in the United States each year.

We offer our patients a world-class program and surgical center that specializes in microsurgical procedures for chronic testicular pain relief.

Request An Appointment at The Institute for Advanced Reconstruction

Our physician team is nearby and ready to serve you. Request an appointment today!

Call Us Today at 855-980-6981

World-Class Leaders in Denervation for Testicular Pain

Chronic testicular pain most commonly appears in men in their mid to late 30s. It is commonly associated with factors such as male factor infertility, lumbar and back pain, chronic prostatitis, stress, and irritable bowel syndrome.

Our results speak for themselves.

Minimally Invasive & Highly Effective

Profound relief in over 70% of patients.

Partial improvement in 20% of patients.

Microsurgical Denervation for Chronic Testicular Pain

Chronic testicular pain, or orchialgia, is intermittent or constant pain in the scrotum. The pain may come on suddenly and severely, or may be gradual and long-lasting. Often, the pain in the testicle(s) interferes with a patient’s ability to perform daily activities and lasts longer than three months.

The Institute for Advanced Reconstruction performs microsurgical denervation of the spermatic cord as an advanced surgical technique for treating chronic testicular pain.

Conservative treatment and diagnostic testing should be the first line of defense before a surgical treatment is considered. For patients who are unresponsive to conservative therapies – particularly those who experienced temporary pain relief following a spermatic cord block procedure – microsurgical denervation of the spermatic cord offers hope for profound relief.

This minimally invasive procedure involves surgically cutting the bundle of vessels, nerves and ducts (known as the spermatic cord) to interrupt pain signals between the testicles and the brain.

Diagnosing Chronic Testicular Pain

To diagnose chronic testicular pain, a medical professional will conduct a physical examination and a thorough review of your medical history. You may be asked about the regularity of bowel movements, potential pain when voiding, if you engage in strenuous physical exercise, or if you sit for prolonged period of times. In addition to a physical exam and medical history review, your medical professional may also order a urinalysis, CT scan, or spermatic block, which can help determine if the source of pain is neurological.

Symptoms

The primary symptom of chronic testicular pain is constant pain in the scrotum, affecting either one or both testicles. The pain may originate in the scrotum or may be experienced in the testicular region after originating from an alternate source, including the kidneys, pelvis, or from inflamed spinal nerves. Identifying the cause of orchialgia can be difficult, because a wide range of issues can be the source of chronic testicular pain, including infection, lower back strain, hernia, and more.

How
We Can
Help

Spermatic Cord Block

A minimally-invasive procedure that involves injecting the spermatic cord with local anesthesia to determine if denervation could offer relief.

Microsurgical Denervation

An advanced, microsurgical outpatient procedure that involves removing the small nerves in the spermatic cord to eliminate or reduce pain signals.

Vasovasostomy

A surgical procedure that involves reversing a vasectomy if suspected that it is the source of a patients chronic testicular pain.

Our Mission Is To Improve The Quality Of Our Patients’ Lives

Our cutting-edge procedures have helped transform the lives of thousands of patients. Hear their stories and more about the procedure here:

“I thought it was hopeless until nerve decompression surgery 18 months ago.”

- Barbara C Google Review

Scheduling an Appointment & Insurance

“He did pudendal nerve decompression surgery which relieved 70 percent of my pain on the right side. Can't wait for my left side next.”

- Mark R Google Review

We Treat Chronic Testicular Pain
at Multiple Locations Across New Jersey and New York

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1128 Atlantic Avenue
Atlantic City, New Jersey 08401

Phone: 855-980-6981

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74 Brick Boulevard
Building 4, Suite 205
Brick, New Jersey 08723

Phone: 855-980-6981

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331 Newman Springs Road
Building 2 - First Floor, Suite 200
Red Bank, New Jersey 07701

Phone: 855-980-6981

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194 NJ-31
Pavilion 2, Suite 102
Flemington, New Jersey 08822

Phone: 855-980-6981

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57 Route 46E
Suite 201
Hackettstown, New Jersey 07840

Phone: 855-980-6981

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1401 Fairmont Street
Whitehall, Pennsylvania 18052

Phone: 855-980-6981

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Mountainside Medical Center (Inside Harries Pavilion) 1 Bay Avenue
Suite 4
Glen Ridge, New Jersey 07028

Phone: 855-980-6981

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826 Main Street
Suite 203
Phoenixville, Pennsylvania 19460

Phone: 855-980-6981

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192 Summer Hill Road
Suite 201
East Brunswick, New Jersey 08816

Phone: 855-980-6981

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83 Hanover Road
Suite 260
Florham Park, New Jersey 07932

Phone: 855-980-6981

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1 Capital Way
Suite 390
Pennington, New Jersey 08534

Phone: 855-980-6981

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635 Madison Avenue
14th Floor
New York City, New York 10022

Phone: 855-980-6981

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257 Lafayette Avenue
Suite 200
Suffern, New York 10901

Phone: 855-980-6981

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1200 US Route 22 East
Suite 19
Bridgewater, New Jersey 08807

Phone: 855-980-6981

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80 James Street
2nd Floor
Edison, New Jersey 08820

Phone: 855-980-6981

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3499 Route 9 North
Suite 1A
Freehold, New Jersey 07728

Phone: 855-980-6981

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4096 English Creek Avenue
Egg Harbor Township, New Jersey 08234

Phone: 855-980-6981

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20 Prospect Avenue
Suite 903, 9th Floor
Hackensack, New Jersey 07601

Phone: 855-980-6981

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700 W. Germantown Pike
Suite 200
East Norriton, Pennsylvania 19403

Phone: 855-980-6981

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950 West Chestnut Street
Suite 102
Union, New Jersey 07083

Phone: 855-980-6981

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11 Eves Drive
Suite 170
Marlton, New Jersey 08053

Phone: 855-980-6981

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1080 Beecher Crossing N.
Suite A
Gahanna, Ohio 43230

Phone: 855-980-6981

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100 West Main Street
Springfield, Ohio 45502

Phone: 855-980-6981

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1717 St. Charles Avenue
Rear Entrance
New Orleans , Louisiana 70130

Phone: 855-980-6981

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9635 Huebner Road
San Antonio, Texas 78240

Phone: 855-980-6981

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540 Madison Oaks
Suite 600
San Antonio, Texas 78258

Phone: 855-980-6981

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222 New Road
Building 6, Suite 603
Linwood, New Jersey 08221

Phone: 609-601-1000

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113 W. Essex Street
Suite 204
Maywood, New Jersey 07607

Phone: 855-980-6981

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19 Davis Avenue
7th Floor
Neptune, New Jersey 07753

Phone: 855-980-6981

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22 Old Short Hills Road
Suite 202
Livingston, New Jersey 07039

Phone: 855-980-6981

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35 Clyde Road
Suite 104
Somerset, New Jersey 08873

Phone: 855-980-6981

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305 Route 17 South
Suite 3-100A
Paramus, New Jersey 07652

Phone: 855-980-6981

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6200 Sunset Drive
Suite 402
South Miami, Florida 33143

Phone: 855-980-6981

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200 Medical Plaza
Suite 460
Los Angeles, California 90095

Phone: 855-980-6981

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517 NJ-72
Suite K
Manahawkin, New Jersey 08050

Phone: 855-980-6981

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106 Court House South Dennis Road
Building 200, Suite 200
Cape May Court House, New Jersey 08210

Phone: 855-980-6981

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7650 River Road
Suite 240
North Bergen, New Jersey 07047

Phone: 855-980-6981

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260 Old Hook Road
Suite 304
Westwood, New Jersey 07675

Phone: 855-980-6981

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2320 NE 9th Street
Suite 300
Fort Lauderdale, Florida 33304

Phone: 855-980-6981

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9230 Katy Freeway
Suite 600
Houston, Texas 77055

Phone: 855-980-6981

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300B Princeton-Hightstown Road
Suite 101
East Windsor, New Jersey 08512

Phone: 855-980-6981

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18354 I-45
Suite 300
Shenandoah, Texas 77384

Phone: 855-980-6981

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730 Lacey Road
Lacey Township, New Jersey 08731

Phone: 855-980-6981

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219 N. White Horse Pike
Suite 104
Hammonton, New Jersey 08037

Phone: 855-980-6981

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3801 W. 15th Street
Suite 150B
Plano, Texas 75075

Phone: 855-980-6981

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10075 S. Jog Road
Suite 309
Boynton Beach, Florida 33437

Phone: 855-980-6981

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2055 Hamburg Turnpike
Wayne, New Jersey 07470

Phone: 855-980-6981

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3201 E. President George Bush Hwy
Suite 101
Richardson, Texas 75082

Phone: 855-980-6981

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129 Clinton Street
Maumee, Ohio 43537

Phone: 855-980-6981

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139 Garau Street
Bluffton, Ohio 45817

Phone: 855-980-6981

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1407 Ridge Road
Suite 101
Rockwall, Texas 75087

Phone: 855-980-6981

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901 West Main Street, Ambulatory Campus
Building A, Suite 363
Freehold, New Jersey 07728

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470 N. Franklin Turnpike
Suite 107
Ramsey, New Jersey 07446

Phone: 201-809-3000

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20 Prospect Avenue
Suite 107
Hackensack, New Jersey 07601

Phone: 201-809-3000

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208 Harristown Road
Second Floor, Suite 201
Glen Rock, New Jersey 07452

Phone: 855-980-6981

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5575 Frisco Square Blvd
Suite 110
Frisco, Texas 75034

Phone: 855-980-6981

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500 Commack Road
Suite B
Commack, New York 11725

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833 Northern Boulevard
Suite 160
Great Neck, New York 11021

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192 E. Main Street
Huntington, New York 11743

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568 Park Avenue
New York, New York 10065

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4510 Medical Center Drive
Suite 202
McKinney, Texas 75069

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Is denervation right for you?

Conservative treatment should be the first line of defense before surgery is is considered. If you have other etiologies contributing to the pain or if you did not have a positive response to a spermatic cord block, microsurgical denervation may not be the best treatment option for you. A spermatic cord block that offers relief is a strong indicator that surgery will be an effective treatment.

Other qualifying factors include:

Symptoms that do not subside with conservative treatments
A history of epididymitis or orchitis
A previous vasectomy
Positive outcome with a spermatic cord block

Have questions, need more information, or would like to find out if our Chronic Testicular Pain Program is right for you? Get in touch with us today.

Request An Appointment

Our Surgeons

The surgeons at The Institute for Advanced Reconstruction are recognized as leaders in diagnosing and treating chronic testicular pain.

Physician

Hamid Abdollahi

MD, FACS

Physician

Zuhaib Ibrahim

MD, FACS

Physician

Robert T. Nevitt III

Physician

Tushar Patel

MD, FACS

Physician

Tzvi Small

MD, FACS

About
The Institute for
Advanced Reconstruction

The Institute for Advanced Reconstruction is uniquely positioned as the ‘go-to’ center for revolutionary nerve procedures, as well as world-class reconstructive treatments.

These include cutting-edge procedures such as nerve transplantation that may restore a significant degree of function for those who have suffered from stroke and other forms of paralysis. Patients who at one time believed they had exhausted their paralysis treatment options come from around the country and the globe to our practice in New York City and Red Bank, New Jersey.

The Institute for Advanced Reconstruction is also composed of the Axon Advance Foundation, a non-profit organization focused on new horizons in research, innovation and surgical treatments for peripheral nerve damage and spinal cord injury.

Learn More

Frequently
Asked
Questions

What is chronic testicular pain?

Chronic Testicular Pain, or orchialgia, is defined as an intermittent or constant pain in the testicle or testicles, which lasts longer than three months and interferes significantly with the patient’s daily activities.

What are some common causes of chronic testicular pain?

As with any illness or injury, the type of treatment selected is potentially a very emotional topic. Because of the complexity of the treatment, we believe that the most important aspect of a search for care is to consider a complete approach to a solution, rather than a solely compartmentalized one.

Using a true team approach to care is the hallmark of our practice. You need a team to integrate all the modalities I have described. There are very few institutions that truly use this approach.

How is chronic testicular pain diagnosed?

A medical diagnosis is established following a thorough review of medical history and physical examination to rule out other sources of pain, as well as appropriate laboratory work up and a scrotal ultrasound. A critical diagnostic test is a spermatic block which helps determine if the problem is via a neurological pathway.

What conservative treatment options exist for this condition?

Initial treatment occurs via conservative management with the use of anti-inflammatory medications and antibiotics, followed by low dose anxiolytics as well as neuromodulating drugs. Other conservative treatments may include:

Heat or ice
Antibiotics
Antidepressants
Anticonvulsants
Phsyical Therapy

Dietary and lifestyle changes (eliminating caffeine, citrus, spices, chocolate, and constipation/ prolonged sitting

If the modalities above do not provide improvement, or patients are seeking a long-term treatment, surgical intervention has shown to provide reliable and successful results.

What is recovery like?

The procedure is performed in an outpatient setting and recovery is minimal. Patients can expect to have some discomfort initially, which will be managed by an oral pain medication with the ability to switch to over the counter pain medications after the first couple days. Patients will be advised to abstain from strenuous activity and heavy lifting for the first month with gradual increase to activity thereafter.

CHRONIC TESTICULAR PAIN

Request An Appointment at The Institute for Advanced Reconstruction

World-Class Leaders in Denervation for Testicular Pain

Our results speak for themselves.

Minimally Invasive & Highly Effective

Profound relief in over 70% of patients.

Partial improvement in 20% of patients.

Microsurgical Denervation for Chronic Testicular Pain

Diagnosing Chronic Testicular Pain

Symptoms

How We Can Help

Spermatic Cord Block

Microsurgical Denervation

Vasovasostomy

Our Mission Is To Improve The Quality Of Our Patients’ Lives

We Treat Chronic Testicular Pain at Multiple Locations Across New Jersey and New York

Is denervation right for you?

Our Surgeons

Hamid Abdollahi

Zuhaib Ibrahim

Robert T. Nevitt III

Tushar Patel

Tzvi Small

About The Institute for Advanced Reconstruction

Frequently Asked Questions

How
We Can
Help

We Treat Chronic Testicular Pain
at Multiple Locations Across New Jersey and New York

About
The Institute for
Advanced Reconstruction

Frequently
Asked
Questions