Abstract：
Chronic scrotal pain (CSP) may be due to an identifiable cause, may be multifactorial, or may be idiopathic. Successful treatment often requires multimodal therapy with a multidisciplinary approach. Conservative options may be offered initially, but if symptoms fail to improve with conservative interventions, more invasive therapies may be required. A nerve block may be attempted and patients who experience improvement in pain following nerve blocks may be good candidates for surgical denervation of the spermatic cord. Alternative surgical treatment options including proximal nerve blocks, neuromodulation, cryoablation, vasectomy reversal, varicocelectomy, and even orchiectomy have been described. The aim of this review is to discuss the treatment options for CSP with a focus on surgical treatment options.
摘要：
慢性阴囊疼痛（CSP）可能是由于可识别的原因，可能是多因素的，也可能是特发性的.成功的治疗通常需要采用多学科方法的多模式治疗。最初可能会提供保守的选择，但是如果保守干预不能改善症状，可能需要更多的侵入性治疗。可以尝试神经阻滞，并且在神经阻滞后疼痛得到改善的患者可能是精索手术去神经的良好候选人。替代手术治疗方案，包括近端神经阻滞，神经调节,冷冻消融,输精管切除术逆转,精索静脉曲张切除术,甚至睾丸切除术也有描述。这篇综述的目的是讨论CSP的治疗方案，重点是手术治疗方案。
