Orquialgia crónica. Una patología subdiagnosticada
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ene 13, 2025
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https://doi.org/10.36677/medicinainvestigacion.v13i1.23503
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Wendy Jaquelyn Porras Martínez
http://orcid.org/0000-0002-5003-8619
Leonel Hipólito Hernández
http://orcid.org/0009-0007-5990-0483
Jaqueline Paredes Palestino
http://orcid.org/0009-0009-3188-210X
http://orcid.org/0000-0002-5003-8619
Leonel Hipólito Hernández
http://orcid.org/0009-0007-5990-0483
Jaqueline Paredes Palestino
http://orcid.org/0009-0009-3188-210X
Resumen
La orquialgia crónica se define como un dolor escrotal unilateral o bilateral de al menos tres meses de duración. Es una de las causas más comunes de consulta urológica y continúa siendo un reto diagnóstico y terapéutico. Las etiologías identificables de la orquialgia deben descartarse y tratarse cuando estén presentes. El tratamiento quirúrgico está reservado para los pacientes con fracaso al tratamiento farmacológico y a intervenciones como el bloqueo del cordón espermático o la ablación con radiofrecuencia. La neurectomia de la rama genital del nervio genitofemoral, generalmente como parte de una triple neurectomia, es el tratamiento quirúrgico primario en el dolor escrotal. La denervación microquirúrgica del cordón espermático es empleada en la orquialgia refractaria.
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Article Details
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PORRAS MARTÍNEZ, Wendy Jaquelyn; HIPÓLITO HERNÁNDEZ, Leonel; PAREDES PALESTINO, Jaqueline.
Orquialgia crónica. Una patología subdiagnosticada.
Medicina e Investigación Universidad Autónoma del Estado de México, [S.l.], v. 13, n. 1, p. 15-20, ene. 2025.
ISSN 2594-0600.
Disponible en: <https://medicinainvestigacion.uaemex.mx/article/view/23503>. Fecha de acceso: 03 oct. 2026
doi: https://doi.org/10.36677/medicinainvestigacion.v13i1.23503.
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Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-SinObrasDerivadas 4.0.
Citas
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Pathology of Mesh and Time: Dysejaculation, Sexual Pain, and Orchialgia Resulting
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A cohort study of 499 patients. Urologia. 2020 Feb; 87 (1): 35-40. DOI:
10.1177/0391560319873531. Epub 2019 Sep 2. PMID: 31476980.
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dissociation presenting as adult chronic orchialgia. Urol Case Rep. 2022 Feb 17; 42:
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T. Management of chronic testicular pain due to thoracolumbar junction
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DOI: 10.7759/cureus.13850. PMID: 33859901; PMCID: PMC8038914.
10. Parekattil SJ, Ergun O, Gudeloglu A. Management of Chronic Orchialgia: Challenges and Solutions - The Current Standard of Care. Res Rep Urol. 2020 Jul
2;12:199-210. DOI: 10.2147/RRU.S198785. PMID: 32754451; PMCID: PMC7351977.
11. Parekattil SJ. Targeted Microsurgical Denervation of the Spermatic Cord for
Chronic Orchialgia: the Current Standard of Care. Curr Urol Rep. 2020 Sep
14; 21 (11): 47. DOI: 10.1007/s11934-020-00999-8. PMID: 32926242.
12. Alzahrani MA, Safar O, Almurayyi M, Alahmadi A, Alahmadi AM, Aljohani
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10.1177/17562872211026433. PMID: 34221127; PMCID: PMC8221700.
14. Oh PJ, Bajic P, Lundy SD, Ziegelmann M, Levine LA. Chronic Scrotal Content
Pain: a Review of the Literature and Management Schemes. Curr Urol Rep.
2021 Jan 15; 22 (2): 12. DOI: 10.1007/s11934-020-01026-6. PMID: 33447905.
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(3): 401-410. DOI: 10.1080/2090598X.2021.1958469. PMID: 34552792; PMCID: PMC8451689.
Urol 2017; 6 (Suppl 1): S51-S56. DOI: 10.21037/tau.2017.05.32
2. Narita M, Moriyoshi K, Hanada K, Matsusue R, Hata H, Yamaguchi T, Otani
T, Ikai I. Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy
and triple-neurectomy. Int J Surg Case Rep. 2015; 16: 157-61. D: 10.1016/j.
ijscr.2015.09.044. Epub 2015 Oct 19. PMID: 26476053; PMCID: PMC4643473.
3. Iakovlev V, Koch A, Petersen K, Morrison J, Grischkan D, Oprea V, Bendavid R. A
Pathology of Mesh and Time: Dysejaculation, Sexual Pain, and Orchialgia Resulting
From Polypropylene Mesh Erosion Into the Spermatic Cord. Ann Surg. 2018 Mar;
267 (3): 569-575. DOI: 10.1097/SLA.0000000000002134. PMID: 28067674.
4. Mohseni-Rad H, Razzaghdoust A, Mishan MA, Gholamrezaie HR, Hosseinkhani A. Terazosin or baclofen in young men with chronic orchialgia:
A cohort study of 499 patients. Urologia. 2020 Feb; 87 (1): 35-40. DOI:
10.1177/0391560319873531. Epub 2019 Sep 2. PMID: 31476980.
5. Ortega DG, Lizana M, Asanad K, Samplaski MK. Complete testicular-epididymal
dissociation presenting as adult chronic orchialgia. Urol Case Rep. 2022 Feb 17; 42:
102032. DOI: 10.1016/j.eucr.2022.102032. PMID: 35530534; PMCID: PMC9073289.
6. Kavoussi PK. Microsurgical subinguinal cremaster muscle release for chronic orchialgia secondary to hyperactive cremaster muscle reflex in adults.
Andrologia. 2020 Feb; 52 (1): e13493. DOI: 10.1111/and.13493. Epub 2019
Nov 24. PMID: 31762050; PMCID: PMC9285759.
7. Vanoli S, Vouga L, Iselin C. Douleurs testiculaires chroniques: un défi multidisciplinaire [Chronic testicular pain: A multidisciplinary challenge]. Rev Med
Suisse. 2021 Dec 1; 17 (761): 2086-2089. French. PMID: 34851056.
8. Aoun F, Malek E, Kazan D, Albisinni S, Peltier A, Bollens R, Roumeguère
T. Management of chronic testicular pain due to thoracolumbar junction
syndrome: A pilot study. Prog Urol. 2020 Feb; 30 (2): 114-118. DOI: 10.1016/j.
purol.2019.12.002. Epub 2020 Jan 21. PMID: 31980366.
9. Newman DP, Tinkham NH, Sterbis JR, Soto AT. Successful Resolution of
Chronic Testicular Pain With an Impairment-Based Treatment Program: A
Case Study With One-Year Follow-Up. Cureus. 2021 Mar 12; 13 (3): e13850.
DOI: 10.7759/cureus.13850. PMID: 33859901; PMCID: PMC8038914.
10. Parekattil SJ, Ergun O, Gudeloglu A. Management of Chronic Orchialgia: Challenges and Solutions - The Current Standard of Care. Res Rep Urol. 2020 Jul
2;12:199-210. DOI: 10.2147/RRU.S198785. PMID: 32754451; PMCID: PMC7351977.
11. Parekattil SJ. Targeted Microsurgical Denervation of the Spermatic Cord for
Chronic Orchialgia: the Current Standard of Care. Curr Urol Rep. 2020 Sep
14; 21 (11): 47. DOI: 10.1007/s11934-020-00999-8. PMID: 32926242.
12. Alzahrani MA, Safar O, Almurayyi M, Alahmadi A, Alahmadi AM, Aljohani
M, Almhmd AE, Almujel KN, Alyousef B, Bashraheel H, Badriq F, Almujaydil A. Pulsed Radiofrequency Ablation for Orchialgia-A Literature Review.
Diagnostics (Basel). 2022 Nov 27; 12 (12): 2965. DOI: 10.3390/diagnostics12122965. PMID: 36552972; PMCID: PMC9777127.
13. Campbell K, Lipshultz L. Current trends and therapies in orchialgia management. Ther Adv Urol. 2021 Jun 22; 13: 17562872211026433. DOI:
10.1177/17562872211026433. PMID: 34221127; PMCID: PMC8221700.
14. Oh PJ, Bajic P, Lundy SD, Ziegelmann M, Levine LA. Chronic Scrotal Content
Pain: a Review of the Literature and Management Schemes. Curr Urol Rep.
2021 Jan 15; 22 (2): 12. DOI: 10.1007/s11934-020-01026-6. PMID: 33447905.
15. Khalafalla K, Arafa M, Elbardisi H, Majzoub A. Non-pharmacological treatments for chronic orchialgia: A systemic review. Arab J Urol. 2021 Aug 4; 19
(3): 401-410. DOI: 10.1080/2090598X.2021.1958469. PMID: 34552792; PMCID: PMC8451689.