Editing CUA: Chronic Scrotal Pain (2018) (section)

== Pathophysiology ==

* Poorly understood
* '''<span style="color:#ff0000">Potential causes (7):'''
*# '''<span style="color:#ff0000">Vasectomy (most common identifiable cause,''' 21%''')'''
*# '''<span style="color:#ff0000">Trauma''' (12%)
*# '''<span style="color:#ff0000">Infection''' (11%)
*# '''<span style="color:#ff0000">Hernia repair''' (5%)
*# '''<span style="color:#ff0000">Epididymal cyst''' (2%)
*# '''<span style="color:#ff0000">Other identified causes (Hydrocelectomy, TURP, orchiectomy, donor nephrectomy) (6%)'''
*# '''<span style="color:#ff0000">Unknown'''
*#* '''<span style="color:#ff0000">Up to 50% of patients presenting with chronic scrotal pain will not have an identifiable etiology</span>''', making medical or surgical management difficult.
* '''Common causes of referred pain to the scrotal contents include mid-ureteral stones and radiculitis''' from degeneration of the thoracic and lumbar spine.
* '''Structures outside of the scrotum (tendons, muscles, ligaments, hernias) may bring the patient for an assessment of his “CSP”''' when, in fact, the pain is due to a non-scrotal source in close proximity to the groin.
** '''Other causes of referred scrotal pain include nerve entrapment by either an indirect inguinal hernia, scarring from prior inguinal surgery, or tendonitis of the insertion of the inguinal ligament into the pubic tubercle.'''