الملخص

Objective: To evaluate the clinico-pathological spectrum and treatment of chronic testicular pain patients. Methods: A prospective and descriptive case series study, conducted at the out-patient clinic of the department of urology at Al Jumhoury teaching hospital in Mosul, between Jan2000 and Dec 2005. The parameters analyzed include; character of the pain, onset, and duration, patient’s age, occupation, past surgical and medical history, the clinical examination, the investigations and treatment. Results: Forty five patients were studied, their age ranged from (16 – 68) years, twenty (44%) patients were under the age of 30 years, ten (22%) patients were between (31 - 45) years, and fifteen (34%) patients were above (46) years of age. The presenting symptom was chronic scrotal pain for more than three months, which is differing in its onset, duration and description. The pain was mainly at the left side, eight (18%) patients had positive clinical findings, 17(38%) patients had positive ultrasonographic pathological findings.The treatment ranged from psychological (reassurance), physical (antibiotic with chronic analgesia) to surgical intervention for those with positive lesion proved by physical examination and investigations. Conclusion: Chronic testicular pain patients remain as dilemma to the general practitioners and frustrating clinical problem for urologists.Key words: Chronic testicular pain, ultrasonography, Varicocele.