Document Detail

Chronic testicular pain as a symptom of pelvic floor dysfunction.
MedLine Citation:
PMID:  19913802     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We determined whether chronic testicular pain is related to pelvic floor overactivity after ruling out other disease pathology. MATERIALS AND METHODS: A total of 41 patients with chronic testicular pain evaluated at our Pelvic Floor Department at a tertiary academic center were included in this retrospective study. All patients underwent standard pelvic floor investigation, including history using a standardized questionnaire and electromyography registration of the pelvic floor. In the questionnaire patients were asked about complaints in 3 domains (micturition, defecation and sexual function) suggestive of pelvic floor dysfunction. Electromyography registration of the pelvic floor was performed. The resting tone of the pelvic floor was considered increased at 3 muV or greater. RESULTS: Mean patient age was 48 years. Of the patients 93% had at least 1 symptom suspicious of pelvic floor dysfunction. A total of 22% had complaints in 1 of the domains of micturition, defecation or sexual function, 24% had complaints in 2 domains and 49% had complaints in all 3 domains. On electromyography registration of the pelvic floor 88% of patients appeared to have an increased resting tone of the pelvic floor muscles at a mean of 6.7 muV (normal less than 3). The patients with a normal pelvic floor resting tone were significantly older than those with an increased resting tone (65.6 vs 45.6, p = 0.0001). CONCLUSIONS: Chronic testicular pain can be a symptom of pelvic floor overactivity, especially in younger patients. A diagnostic evaluation should be performed when no pathophysiology can be found.
Erik Planken; Petra J Voorham-van der Zalm; August A B Lycklama A Nijeholt; Henk W Elzevier
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  183     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  177-81     Citation Subset:  AIM; IM    
Leiden University Medical Center, Leiden, The Netherlands.
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MeSH Terms
Aged, 80 and over
Chronic Disease
Middle Aged
Pain / etiology*
Pelvic Floor / physiopathology*
Young Adult

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