Vol. 7, Issue 1, Part A (2025)

Chronic orchialgia is a disease with several probable aetiologies, including both genitourinary and non-genitourinary disorders. Chronic orchialgia is deemed idiopathic in 25-50% of instances, despite a wide differential diagnosis. In the lack of explicit protocols for the assessment and management of chronic orchialgia, it is crucial to conduct a thorough history and physical examinations to exclude all potential aetiologies of chronic orchialgia. Utilising auxiliary imaging techniques, especially scrotal ultrasound, may aid in achieving a conclusive diagnosis when the physical examination is ambiguous. The first approach to treating persistent orchialgia is medical care. Invasive treatment for orchialgia ought to be regarded following the ineffectiveness of medicinal treatments.