Describe an evidence-based, algorithmic evaluation of a patient presenting with male pelvic pain.
Recognize options for medical management of male pelvic pain and the availability of alternative and novel therapies.
Determine when operative intervention may be appropriate in men with male pelvic pain and recognize the importance of effective .preoperative counseling
Recognize the advantages of a multi-disciplinary approach in men presenting with male pelvic pain.
Discuss the newest techniques in microsurgical and robotic management of male pelvic pain.
This course will focus on the current medical, surgical, pain management and multi-modal approaches to the treatment of male pelvic pain.
Surgical discussion (both microsurgical and robotic) will include the latest updates on microscopic denervation of the spermatic cord, cremasteric release, vasectomy reversal, epididymectomy and varicocele repair. We will present the basic approach and the current anatomical and pathological understanding of the disease process, as well as the most recent surgical developments in the management of this common disorder. The role of appropriate preoperative counseling, imaging and evaluation, including the role of spermatic cord injection, will similarly be reviewed. The course will provide evidence-based guidance and expert opinion on the preoperative counseling and preparation, surgical technique, and postoperative considerations for surgical treatments of chronic orchialgia and male pelvic pain. Practical tips on technique and intraoperative decision making will also be discussed. As conservative therapy is generally the mainstay of treatment, medical, physical therapy and pain management options will be comprehensively reviewed, as well as alternative and novel therapies to broaden the provider's options when encountering these patients. There will be a focus on case management with time allotted for questions and discussion.