Adölesanda Kronik Orkalji Hastası Takibi

Öz

Orkalji, sürekli veya değişken zamanlarda ortaya çıkan, tek veya çift taraflı olabilen, bireyin günlük aktivitelerini kısıtlayan ve 3 aydan uzun süren testis ağrısı olarak tanımlanır. Enfeksiyon veya lokal patoloji bulunmayabilir. Adölesan yaş grubunda testiste ağrı nedeniyle çocuk ürolojisi polikliniğine başvuran 3 olgumuzla etiyolojiye göre kronik orkalji olgularında tedavi seçeneklerini vurgulamayı amaçladık.

Anahtar Kelimeler

• Kronik orkalji
• İdiopatik orkalji
• Testiküler ağrı

Chronic Orchalgia in Adolescence: A Literature-Based Evaluation of Followed Patients

Öz

Orchalgia is defined as testicular pain that occurs continuously or at variable times, may be unilateral or bilateral, restricts the daily activities of the individual, and lasts for more than 3 months. Infection or local pathology may not be present. We aimed to emphasize the treatment options in cases of chronic orchalgia according to the etiology of our 3 cases who presented to the pediatric urology outpatient clinic due to testicular pain in the adolescent age group.

Anahtar Kelimeler

• Chronic Orchalgia,
• Testicular Pain
• Idiopathic orchalgia

Kaynakça

1. 1. Davis BE, Noble MJ, Weigel JW, Foret JD, Mebust WK. Analysis and management of chronic testicular pain. J Urol 1990; 143: 936–939.
2. 2. Engeler D (chairman), Baranowski AP, Elneil S, Hughes J, Messelink EJ, Oliveira P, van Ophoven A, Williams AC. EAU Guidelines on Chronic Pelvic Pain, 2012.
3. 3. Kumar P, Mehta V, Nargund VH. Clinical management of chronic testicular pain. Urol Int 2010; 84(2):125-131.
4. 4. Lau MWM, Taylor PM, Payne SR. The indications for scrotal ultrasound. Br J Radiol 1999; 72: 833–837.
5. 5. Cramer BM, Schlegel EA, Thueroff JW. MR imaging in the differential diagnosis of scrotal and testicular disease. Radiographics 1991; 11: 9–21.
6. 6. Macrae B. Pain—new thoughts on an old problem. Urology News 2000;4(5): 6–8.
7. 7. Granitsiotisa P, Kirkb D. ChronicTesticular Pain: An Overview. European Urology 2004; 45:430–436.
8. 8. Yamamoto M, Hibi H, Katsuno S, Miyake K. Management of chronic orchialgia of unknown etiology. Int. J Urol 1995; 2(1): 47–49.

9. 9. Heidenreich A, Olbert P, Engelmann UH. Management of chronic testalgia by microsurgical testicular denervation. Eur Urol 2002, 41(4):392-397.
10. 10. Davis BE, Noble MJ, Weigel JW, Foret JD, Mebust WK. Analysis and management of chronic testicular pain. J Urol 1990; 143: 936-939.
11. 11. Costabile RA, Hahn M, McLeod DG. Chronic orchalgia in the pain prone patient: the clinical perspective. J Urol 1991; 146: 1571-1574.