Orchalgia, also known as “ball pain,” can be the bane of general urologists’ existence. In our practice, most of these patients end up in our Men’s Health Center. Here we provide three videos on microsurgical cord denervation (MSCD), which, when done properly, we have found to be very effective in providing nearly instant pain relief to men with orchalgia. MSCD is a very satisfying operation, and we find that these men are some of our most grateful patients. The videos below each represent a different approach to this complex microsurgical procedure. The surgeons all demonstrate meticulous hemostasis and clear definition of tissue planes, which is critical to the success of these surgeries.
—James M. Hotaling, MD, MS, Section Editor
Commentary on the videos is provided by James Craig, MD, a men's health and reconstructive urology fellow at the University of Utah, and by 'Y'tube Section Editor James M. Hotaling, MD, MS, assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.