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Pain Research and Management
Volume 2017, Article ID 3829168, 5 pages
Research Article

Characteristics and Etiologies of Chronic Scrotal Pain: A Common but Poorly Understood Condition

1Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada
2Murray Koffler Urologic Wellness Centre, Mount Sinai Hospital, Toronto, ON, Canada
3Wasser Pain Management Centre, Mount Sinai Hospital, Toronto, ON, Canada
4Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada
5Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada

Correspondence should be addressed to Keith A. Jarvi;

Received 28 November 2016; Revised 23 January 2017; Accepted 13 February 2017; Published 2 March 2017

Academic Editor: Yelena Granovsky

Copyright © 2017 Aosama Aljumaily et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chronic scrotal pain (CSP) is a common and debilitating condition, but the underlying characteristics and etiology of CSP are poorly understood. The objective of this study is to identify the characteristic and etiologies of CSP. Men presenting for management of CSP completed a standardized questionnaire and underwent a complete physical examination. From Feb 2014 to Sep 2015, a total of 131 men (mean age 43) with CSP were studied. The CSP was of long duration (mean of years) and dramatically affected men’s lives, with adverse effects on normal activities (71.%), ability to work (51.90%), and sexual functioning (61.8%). 50.4% felt depressed on most days, and 67.17% felt either unhappy or terrible with their present condition. Physical examination revealed that the epididymis was the most common tender area found in 70/131 men (53.43%), though a musculoskeletal source for the pain was found in 9.9%. Neuropathic changes were found in 30%. For close to half of the men (43.5%) we were unable to identify any potential cause for the CSP. This study characterizes the dramatic impact that CSP has on the lives of men, while providing an understanding of the common etiologies.