What is spermatic cord denervation?

Microsurgical denervation of the spermatic cord, also known as cord stripping, is a microsurgical technique to treat chronic testicular pain in men who have not had success with conservative treatments. This surgery is life-changing for men whose chronic testicular pain has no known cause.

What causes spermatic cord block?

A spermatic cord block is typically performed in the case of idiopathic (of unknown cause) testicular pain. Chronic testicular pain can vary throughout the day and can worsen when a patient is sitting, driving or engaging in sexual activity.

How do you treat spermatic cord pain?

Surgical repair, or orchiopexy, is usually required to treat testicular torsion. In rare cases, your doctor may be able to untwist the spermatic cord by hand. This procedure is called “manual detorsion.” Surgery is performed as quickly as possible to restore blood flow to the testicles.

What are the contents of spermatic cord?

The contents of the spermatic cord include the following:

• Vas deferens.
• Testicular artery.
• Artery of the ductus deferens.
• Cremasteric artery.
• Pampiniform plexus.
• Genital branch of the genitofemoral nerve.
• Parasympathetic and sympathetic nerves.
• Lymphatic vessels.

What happens when the spermatic cord is cut?

It happens when the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. The twisting cuts off the testicle’s blood supply and causes sudden pain and swelling. Testicular torsion (also called testis torsion) requires immediate surgery to save the testicle.

Can you feel the spermatic cord?

Start by gently gripping the top of the scrotum, with your thumb on top and your fingers underneath. Pinch gently so that the testicle stays put and won’t move during the exam. Between your fingers, you should feel the spermatic cord. This connects the testicle to the rest of your body.

How long does spermatic cord block last?

Most patients will notice a change in their pain level for about 8 hours. For some people it will last longer (especially if they only feel pain during certain activities).

Can the spermatic cord swell?

When the veins, called the pampiniform plexus, inside the spermatic cord get swollen it’s called a varicocele. Varicoceles are more common on the left side of the scrotum, than on the right side, due to differences in blood vessel connections on each side.

Can the spermatic cord hurt?

Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling. Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth.

Can U Feel your spermatic cord?

Can you feel spermatic cord?

Start by gently gripping the top of the scrotum, with your thumb on top and your fingers underneath. Pinch gently so that the testicle stays put and won’t move during the exam. Between your fingers, you should feel the spermatic cord.

What does spermatic cord feel like?

Normally, the testicles are smooth, and the cord holding them feels like a rope. This cord is called the spermatic cord. Any swelling or lump in or on the scrotum is called a scrotal mass (see drawing).