It is the cause of about 2. When it cannot be directly be attributed to any specific, identifiable source, the condition is called idiopathic chronic orchialgia. Evaluation can be confusing as the underlying cause is often idiopathic and conservative therapy is often unsuccessful making this a challenging condition to diagnose and treat. Conservative therapy is usually tried first, but more invasive treatments are used when first-line options fail. Surgical options include spermatic cord blocks, varicocelectomy, epididymectomy, vasovasostomy if the patient has had a vasectomy , microsurgical denervation of the spermatic cord MDSC , botulinum toxin injections, and orchiectomy. Possible identifiable organic causes include structural disorders such as spermatoceles, varicoceles, infection, trauma, fibrosis, tumors, intermittent torsion, torsion of a testicular appendage, chronic epididymitis, low back strain, vasculitis such as Henoch-Schonlein purpura , post-vasectomy pain syndrome, nerve entrapment from hernia surgery or perineural fibrosis, pelvic floor dysfunction, or referred pain from another site such as a ureteral stone. Less common causes include diabetic neuropathy, retroperitoneal tumors, interstitial cystitis, abdominal aortic aneurysms, peritonitis, amiodarone-induced epididymal inflammation, pelvic musculoskeletal disorders, osteitis pubis, and polyarteritis nodosa.
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Ria Benson said: digman2018 taxpayers money doesn't go to pay abortions. Fuck! it's already illegal/that's not what fucking PP does. Omg pissed off right now..
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