actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problems10.29413/ABS.2022-7.4.4actabiomedica-3642Research ArticleЛЕКЦИИLECTURESХроническая мошоночная боль: патогенез, клинические фенотипы и современная концепция лечения (клиническая лекция)Chronic scrotal pain: Pathogenesis, clinical phenotypes and modern treatment concept (clinical lecture)https://orcid.org/0000-0001-9278-9739ЛелявинК. Б.LelyavinK. B.

Лелявин Кирилл Борисович – доктор медицинских наук, доцент кафедры скорой медицинской помощи и медицины катастроф

664049, г. Иркутск, Юбилейный, 100

Kirill B. Lelyavin – Dr. Sc. (Med.), Associate Professor at the Department of Emergency Medicine

Yubileyniy 100, Irkutsk 664049

 

Lelyavink@rambler.ruИркутская государственная медицинская академия последипломного образования – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииIrkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education202201092022743444Copyright © Лелявин К.Б., 20222022Лелявин К.Б.Lelyavin K.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/3642

Хроническая мошоночная боль (ХМБ) – это собирательное понятие, обозначающее множество проблем, вызывающих дискомфорт или боль в мошонке, которые могут быть вызваны проблемами как с яичками, так и с другими структурами органов мошонки: паратестикулярными, придатками яичек, семявыносящими протоками. Для практикующего врача-уролога диагностика и лечение хронической мошоночной боли всегда представляет сложную задачу ввиду многочисленных причин её развития и разнообразия клинических проявлений. ХМБ – распространённое, но при этом малоизученное состояние, этиология которого часто не идентифицируется. Боли, локализующиеся в мошонке, составляют 38,8 % всех случаев хронической тазовой боли у мужчин. С синдромом ХМБ связаны от 2,5 до 4,8 % всех посещений уролога. Первичный мошоночный болевой синдром не ассоциирован с инфекцией или другими локальными патологическими процессами, которые могли служить причиной развития боли. Лечение хронической мошоночной боли представляет собой сложную задачу, поскольку боль часто не поддаётся традиционным методам лечения.

Цель данной лекции: привлечь внимание урологов, врачей общей практики, а также всех, кому интересна проблема лечения хронической мошоночной боли, к достижениям современной медицины в решении этой сложной мультидисциплинарной проблемы.

Chronic scrotal pain (CSP) is a general term, which defines variety of problems causing discomfort or pain in the scrotum, which can be caused by the problems with testicles and other structures of the scrotum: epididymis, vas deferens, paratesticular structures. For a practicing urologist, the diagnosis and treatment of chronic scrotal pain is always a difficult task due to the many reasons for its appearance and the variety of clinical symptoms. CSP is a widespread but poorly understood condition, the etiology of which often can not be identified. Pain localized in the scrotum makes up 38.8 % of all cases of chronic men’s pelvic pain. From 2.5 to 4.8 % of all visits to the urologist relate to CSP syndrome. Primary scrotal pain syndrome is not associated with infection or other local pathological processes that could cause pain. The treatment of chronic scrotal pain is challenging because the pain often does not react to the traditional treatments.

The purpose of this lecture is to draw the attention of urologists, general practitioners, and everyone who is interested in the problem of treating chronic scrotal pain to the possibilities of modern medicine in solving this multidisciplinary problem.

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The authors declare that there are no conflicts of interest present.