047IC - A Practical Approach to the Evaluation and Management of Chronic Male Pelvic Pain

Saturday, April 29, 2023

4:00 PM – 6:00 PM CST

Location: S105A

Instructional Course Director(s)

RS

Ryan Smith, MD

Associate Professor of Urology
University of Virginia

Instructional Course Faculty(s)

Parviz Kavoussi

Assistant Professor
Austin Fertility & Reproductive Medicine
Sarah Krzastek, MD (she/her/hers)

Clinical Associate Professor
Virginia Commonwealth University
Reza Salajegheh, MD-Anesthesiology and Pain Management
Luriel Smithharrison, MD (he/him/his)

Assistant Professor of Urology
Virginia Commonwealth University

Course Description: This course will focus on the current medical, surgical, pain management and multimodal 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. The course will also feature a presentation and discussion with a pain management expert versed in the treatment of male pelvic pain.

Learning Objectives:

Describe the key tenets of the evaluation of a male presenting with chronic pelvic pain.
Recognize the pain management options to treat male pelvic pain and know when to refer.
Determine when operative intervention may be appropriate in men with chronic pelvic pain.
Recognize the necessity of effective preoperative counseling in men considering surgical intervention for chronic pelvic pain.
Discuss the newest techniques in microsurgical and robotic management of chronic orchialgia.
Discuss a current review of the medical literature on male pelvic pain.
Identify the pain management options for the treatment of chronic male pelvic pain, both procedural and medical.
Recognize appropriate pain management medical therapy options for the treatment of male pelvic pain and potential side effects.