Microsurgical denervation of the spermatic cord / Bratislava / Piešťany

What is microsurgical denervation of the spermatic cord actually?

Microsurgical denervation of the spermatic cord is a suitable solution for chronic idiopathic testicular pain that could not be treated conservatively and lasts more than 3 months. This operation is approached after excluding other, otherwise treatable causes of testicular pain, such as inflammatory, tumor and traumatic testicular pain, testicular pain caused by its torsion, or testicular pain caused by diseases of the kidneys, prostate, abdominal organs or diseases of the spine and nervous system.

Microsurgical denervation of the spermatic cord as treatment for chronic testicular pain

Our workplace performs microsurgical denervation of the testicle using a spatial optical system that ensures optimal visibility for the surgeon. The operation is performed under general anesthesia (artificial sleep) and usually takes up to 40 minutes. After the operation, the patient goes home on the day of the operation. The condition does not require hospitalization.

The essence of the operation and its effectiveness

The essence of the operation is cutting the spermatic branches (n. genitofemoralis and n. ilioingvinalis) without damaging the vascular structures of the spermatic cord and vas deferens. The operation can also be combined with vasectomy, i.e. interruption of the vas deferens.

The success of microsurgical denervation in the treatment of chronic testicular pain is high and reaches up to 90% effectiveness. Its effect is permanent removal of testicular pain. The operation is burdened with minimal risk of complications (less than 1.5%).

Before the operation, internal preoperative examination is necessary, which will be performed either by your general practitioner or by us. Before the operation, it is necessary to shave the scrotum, penis area and groin. The operation usually requires subsequent 7-day sick leave according to the nature of the patient’s work.

The operation is performed personally by MUDr. Milan Gajdoš, MPH, an experienced urologist with more than 25 years of practice. Private practice ensures the highest quality of materials used and the highest hygienic standard. Our top workplaces guarantee discretion (with us you will not come into contact with masses of people as in a hospital), individual and friendly approach with constant presence of your doctor during your stay with us with the possibility to communicate with the doctor even after the procedure by phone 24 hours a day or in person until complete healing.

What problems does microsurgical denervation of the spermatic cord solve?

The procedure solves chronic idiopathic testicular pain in men.

What are the advantages of microsurgical denervation of the spermatic cord?

Microsurgical denervation of the spermatic cord brings patients permanent relief from chronic testicular pain that does not respond to other treatment. Thanks to the microscopic approach, only the nerve fibers responsible for pain are removed, while the integrity of blood vessels and other structures is preserved.

The procedure is performed as part of one-day surgery, without the need for long-term hospitalization and in more than 90% of cases brings significant or complete pain relief.

What are the risks of microsurgical denervation of the spermatic cord?

Risks associated with this procedure are very low. Mild postoperative swelling, redness or short-term discomfort in the wound area may occur. In rare cases (< 1.5%) complications such as infection or persistence of some pain may occur, but overall the procedure is considered safe.

How does microsurgical denervation of the spermatic cord work?

The procedure is performed under general anesthesia and takes approximately 40 minutes. The surgeon uses an operating microscope to precisely identify the nerve branches of the spermatic cord and interrupts those that transmit pain. All important vascular and tissue structures are preserved during this process. The patient goes home on the day of the procedure and a check-up is usually performed after 10-14 days.

Who performs microsurgical denervation of the spermatic cord at Lauros clinic?

The operation is performed by MUDr. Milan Gajdoš, MPH, who has performed more than 7000 urological and sexological procedures. The doctor performs the procedure in Bratislava or Piešťany.

How much does microsurgical denervation of the spermatic cord cost?

The price of microsurgical denervation of the spermatic cord is 1900 Euros for the operation itself including general anesthesia. In addition, there is a fee of 300 Euros for preoperative examination, consultation, postoperative check-up and surgeon selection.

Who is microsurgical denervation of the spermatic cord intended for?

The procedure is intended for men with chronic idiopathic testicular pain.

Who is microsurgical denervation of the spermatic cord not intended for?

The procedure is not intended for women, children and men with known causes of testicular pain.

What is the process before microsurgical denervation of the spermatic cord?

The operation is preceded by a consultation at our outpatient clinic in Bratislava or Piešťany. During the consultation, we perform examinations and identify known causes of testicular pain and determine whether the operation is suitable for solving your testicular pain problem. We will set a date for the operation and arrange internal and anesthesiological preoperative examinations.

Before the operation itself, you shave the scrotum, penis area and groin at home the day before the procedure. You usually come to the clinic in the morning on an empty stomach.

What happens after microsurgical denervation of the spermatic cord?

After the operation, you bandage the wound in the groin daily. After washing the wound with Betadine soap solution, you dry the wound with gauze and apply Framykoin or Bactroban ointment, cover with sterile gauze. Bandages are needed for 7-10 days depending on the speed of wound healing. After 10-14 days you undergo a check-up at our outpatient clinic.

What does the completed microsurgical denervation of the spermatic cord look like?

In this section we bring you a gallery of photographs that show what the completed microsurgical denervation of the spermatic cord looks like. The images are for illustrative purposes only, so you can get an idea of the result.