Initial treatment for CTP involves conservative measures, such as pain relievers, anti-inflammatory medications, pain blocks or a Fentanyl patch, which is a strong narcotic pain reliever applied to the testicle as a patch. The problem is that all these treatments only provide temporary relief.
Often patients do not like the way they feel when they are on pain medicine for an extended period of time. They may also be concerned about driving or focusing on work duties while taking the medication.
Many CTP sufferers end up making multiple trips to pain clinics for pain blocks that eventually wear off and can become increasingly less effective with repeated treatments. This can be very time consuming and frustrating.
Until recently, the traditional surgical treatment for unexplained and untreatable CTP has been to remove the epididymis or the testicle. These surgeries are called, respectively, epididymectomy and orchiectomy. Although this has been an effective way of treating CTP for many men, up to 50 to 70 percent of men still suffer from CTP after this surgery.