Chronic testicular pain, also known as orchalgia, is a distressing condition that can significantly affect a man’s quality of life. It is characterized by persistent pain or discomfort in one or both testicles lasting more than three months, often without a clear underlying cause. When conservative treatments fail to provide relief, a microsurgical testicular denervation offers an effective and minimally invasive solution.
At Rahee Health Care, Bibwewadi, Pune, Dr. Rajeev Chaudhari, an experienced Consultant Urosurgeon & Andrologist, specializes in testicular denervation surgery for men suffering from chronic orchalgia. With advanced diagnostic precision and microsurgical expertise, Dr. Chaudhari provides lasting pain relief while preserving testicular function.
Orchalgia refers to long-standing testicular pain that may be intermittent or constant. The pain can originate from various sources within or outside the scrotum, and identifying the exact cause is crucial for successful management.
Post-surgical complications (after hernia repair, vasectomy, or hydrocele surgery)
Varicocele or epididymitis
Nerve entrapment or irritation in the spermatic cord
Referred pain from kidney stones or lower back problems
Trauma or chronic inflammation
Idiopathic (no identifiable cause)
In many patients, the pain persists even after treating the apparent cause, indicating a neuropathic component — that is, the nerves themselves become hypersensitive.
Microsurgical testicular denervation is a minimally invasive procedure designed to relieve chronic testicular pain by selectively interrupting the sensory nerves that carry pain signals from the testicle to the brain.
The procedure involves accessing the spermatic cord, which contains nerves, blood vessels, and the vas deferens.
Using a high-powered operating microscope, Dr. Rajeev Chaudhari carefully identifies and divides the small sensory nerves responsible for transmitting pain.
Important structures such as the testicular artery, veins, and vas deferens are preserved to maintain testicular health and function.
This precise surgical approach provides permanent pain relief in most patients while ensuring no impact on fertility or hormone production.
Microsurgical testicular denervation offers numerous advantages, making it the preferred treatment for chronic orchalgia when non-surgical measures fail.
Minimally invasive and precise procedure
Preserves testicular function and appearance
High success rate (pain relief in 70–90% of cases)
Short hospital stay and quick recovery
Low risk of complications
Improved quality of life with lasting results
At Rahee Health Care, Pune, the procedure is performed with advanced microsurgical tools and fine-tuned expertise to ensure optimal outcomes and patient comfort.
You may be a candidate for testicular denervation surgery if:
You experience persistent or severe testicular pain lasting over 3 months.
Conservative treatments such as antibiotics, anti-inflammatory medications, or nerve blocks have not worked.
Imaging (ultrasound, CT scan) shows no significant abnormality explaining the pain.
Pain interferes with your daily activities, sexual health, or quality of life.
Before recommending surgery, Dr. Rajeev Chaudhari conducts a detailed evaluation — including history, physical examination, and diagnostic nerve block testing — to confirm that the pain originates from the spermatic cord.
Preoperative Evaluation: Comprehensive clinical examination and nerve block test to confirm suitability.
Anesthesia: The procedure is performed under local, regional, or general anesthesia.
Microsurgical Access: A small incision is made in the groin to expose the spermatic cord.
Nerve Isolation: Using microsurgical magnification, sensory nerves within the cord are carefully identified and divided.
Closure: The incision is closed with fine sutures, leaving minimal scarring.
The procedure usually takes about 45–60 minutes, and most patients can go home the same day.
After the surgery, patients are advised to:
Rest for 24–48 hours and avoid strenuous activities for a week.
Use prescribed pain relief and anti-inflammatory medications.
Attend follow-up visits to monitor healing and progress.
Most patients notice significant reduction in pain within weeks, and full benefits are typically evident within 2–3 months.
Dr. Rajeev Chaudhari, Consultant Urosurgeon & Andrologist, is a trusted expert in microsurgical urological procedures with a special focus on chronic testicular pain management. His advanced training and precision-driven approach ensure safe, effective, and lasting results.
At Rahee Health Care, Bibwewadi, Pune, patients benefit from:
Modern microsurgical equipment
Personalized pre- and post-operative care
Minimally invasive techniques with quick recovery
Ethical, evidence-based treatment protocols
Dr. Chaudhari’s patient-centered approach ensures every individual receives compassionate care and long-term relief from debilitating testicular pain.
If you experience persistent scrotal discomfort, burning, or dull aching pain, do not ignore it. Early consultation with an experienced Urosurgeon in Bibwewadi, Pune, can help identify the cause and offer effective solutions like microsurgical denervation before the condition worsens.
Chronic testicular pain doesn’t have to be a lifelong struggle. With microsurgical testicular denervation, patients can achieve long-term relief and improved quality of life. At Rahee Health Care, Bibwewadi, Pune, Dr. Rajeev Chaudhari offers expert evaluation, precise diagnosis, and advanced treatment tailored to each patient’s needs.
Book your consultation today to discuss how testicular denervation can help you overcome chronic orchalgia safely and effectively.
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