031IC - Male Chronic Pelvic Pain and Scrotal Pain: Common Clinical Scenarios, AUA Guidelines Review and Case-Based Discussion

Course Description: This course will focus on the AUA Guidelines and the current medical, surgical, pain management and multi-modal approaches to
the treatment of male pelvic pain. This will be presented in a case-based format with attention to the AUA Guidelines pertaining to these common etiologies. 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 providers options when encountering these patients.
There will be a focus on the AUA guidelines and case management with time allotted for questions and discussion.

Learning Objective 1: Describe the key tenets of the evaluation of a male presenting with chronic pelvic pain and understand the benefits of an algorithmic and multidisciplinary approach.

Learning Objective 2: Recognize the pain management and physical therapy options to treat male pelvic pain and know when to refer.

Learning Objective 3: Determine when operative intervention may be appropriate in men with chronic pelvic pain and when nonoperative approaches are favored.

Learning Objective 4: Recognize the necessity of effective preoperative counseling in men considering surgical intervention for chronic pelvic pain.

Learning Objective 5: Discuss the newest techniques in microsurgical and robotic management of chronic orchialgia.

Learning Objective 6: Identify the key operative steps for index procedures in the management of male pelvic pain.

Learning Objective 7: Discuss the AUA Guidelines and how they pertain to different etiologies of male pelvic pain.

Learning Objective 8: