{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T10:29:19Z","timestamp":1793788159560,"version":"4.6.1"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","goldjournal.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.urology.2026.09.013","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:29:01Z","timestamp":1789540141000},"page":"148-152","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Standard vs Targeted Microsurgical Denervation of Spermatic Cord for Chronic Orchialgia: A Prospective Comparative Study"],"prefix":"10.1016","volume":"216","author":[{"given":"Khaled","family":"Almekaty","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Gamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Abo","family":"El Enein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maged","family":"Ragab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Gameel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Mamdoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Elsherbiny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9102-1821","authenticated-orcid":false,"given":"Ahmed","family":"Ghaith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.urology.2026.09.013_bib1","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/S0022-5347(17)40143-1","article-title":"Analysis and management of chronic testicular pain","volume":"143","author":"Davis","year":"1990","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/1756287210390409","article-title":"Chronic orchialgia: evaluation and discussion of treatment options","volume":"2","author":"Levine","year":"2010","journal-title":"Ther Adv Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib3","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.eururo.2003.11.004","article-title":"Chronic testicular pain: an overview","volume":"45","author":"Granitsiotis","year":"2004","journal-title":"Eur Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1159\/000277587","article-title":"Clinical management of chronic testicular pain","volume":"84","author":"Kumar","year":"2010","journal-title":"Urol Int"},{"key":"10.1016\/j.urology.2026.09.013_bib5","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1046\/j.1464-410X.1997.32221.x","article-title":"The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management","volume":"79","author":"Ahmed","year":"1997","journal-title":"Br J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s11934-015-0510-1","article-title":"Evaluation and management of chronic scrotal content pain","volume":"16","author":"Levine","year":"2015","journal-title":"Curr Urol Rep"},{"key":"10.1016\/j.urology.2026.09.013_bib7","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s11934-017-0722-7","article-title":"Chronic testicular and groin pain: pathway to relief","volume":"18","author":"Calixte","year":"2017","journal-title":"Curr Urol Rep"},{"key":"10.1016\/j.urology.2026.09.013_bib8","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.suc.2016.02.014","article-title":"Diagnosis and surgical management of male pelvic, inguinal, and testicular pain","volume":"96","author":"Belanger","year":"2016","journal-title":"Surg Clin N Am"},{"key":"10.1016\/j.urology.2026.09.013_bib9","first-page":"277","article-title":"Pain control following inguinal herniorrhaphy: current perspectives","volume":"7","author":"Bjurstrom","year":"2014","journal-title":"J Pain Res"},{"key":"10.1016\/j.urology.2026.09.013_bib10","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1111\/j.1464-410X.2006.06733.x","article-title":"A review of the efficacy of surgical treatment and pathological changes in patients with chronic scrotal pain","volume":"99","author":"Nariculam","year":"2007","journal-title":"BJUI"},{"key":"10.1016\/j.urology.2026.09.013_bib11","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/S0022-5347(01)66369-9","article-title":"Microsurgical denervation of the spermatic cord: a surgical alternativein the treatment of chronic orchalgia","volume":"155","author":"Levine","year":"1996","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib12","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/S0022-5347(05)66244-1","article-title":"Microsurgical denervation of the spermatic cord as primary surgical therapy for the treatment of chronic orchalgia","volume":"165","author":"Levine","year":"2001","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib13","first-page":"392","article-title":"Management of chronic testalgia by microsurgical testicular denervation","volume":"41","author":"Heidenreich","year":"2002","journal-title":"EurUrol"},{"key":"10.1016\/j.urology.2026.09.013_bib14","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1016\/j.juro.2008.05.018","article-title":"Microssurgical denervation of the spermatic cord (MSCD) for chronic orchalgia: long-term results from a single center","volume":"180","author":"Strom","year":"2008","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib15","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1038\/aja.2012.131","article-title":"Robotic assisted andrological surgery","volume":"15","author":"Parekattil","year":"2013","journal-title":"Asian J Androl"},{"key":"10.1016\/j.urology.2026.09.013_bib16","doi-asserted-by":"crossref","first-page":"72","DOI":"10.5489\/cuaj.2383","article-title":"Early experience with microsurgical spermatic cord denervation for chronic orchialgia at a Canadian centre","volume":"9","author":"Cassidy","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"10.1016\/j.urology.2026.09.013_bib17","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.juro.2015.05.081","article-title":"Microsurgical spermatic cord denervation as a treatment for chronic scrotal content pain: a multicenter open label trial","volume":"194","author":"Marconi","year":"2015","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib18","doi-asserted-by":"crossref","first-page":"78","DOI":"10.5534\/wjmh.180035","article-title":"Microsurgical denervation of spermatic cord for chronic idiopathic orchialgia: long-term results from an institutional experience","volume":"37","author":"Chaudhari","year":"2019","journal-title":"World J Mens Health"},{"key":"10.1016\/j.urology.2026.09.013_bib19","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.juro.2017.10.030","article-title":"Targeted robotic assisted microsurgical denervation of the spermatic cord for the treatment of chronic orchialgia or groin pain: a single center, large series review","volume":"199","author":"Calixte","year":"2018","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib20","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1159\/000253415","article-title":"Chronic orchialgia and associated diseases","volume":"4","author":"Ciftci","year":"2010","journal-title":"Curr Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib21","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1080\/24740527.2017.1328592","article-title":"Quality of life in men with chronic scrotal pain","volume":"1","author":"Aljumaily","year":"2017","journal-title":"Can J Pain"},{"key":"10.1016\/j.urology.2026.09.013_bib22","first-page":"149","article-title":"The use of microsurgical denervation of the spermatic cord for orchalgia","volume":"70","author":"Devine","year":"1978","journal-title":"Trans Am Ass Genito-Uro Surg"},{"key":"10.1016\/j.urology.2026.09.013_bib23","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.purol.2010.08.005","article-title":"Therapeutic management of chronic intrascrotal pain","volume":"20","author":"Sibert","year":"2010","journal-title":"Prog Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib24","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.juro.2013.01.045","article-title":"Trifecta nerve complex: potential anatomic basis for microsurgical denervation of the spermatic cord for chronic orchalgia","volume":"190","author":"Parekattil","year":"2013","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib25","article-title":"What is the predictive value of a spermatic cord block prior to microsurgical denervation of the spermatic cord?","volume":"203","author":"Parekattil","year":"2020","journal-title":"J Urol"},{"key":"10.1016\/j.urology.2026.09.013_bib26","doi-asserted-by":"crossref","DOI":"10.1111\/and.13493","article-title":"Microsurgical subinguinal cremaster muscle release for chronic orchialgia secondary to hyperactive cremaster muscle reflex in adults","volume":"52","author":"Kavoussi","year":"2020","journal-title":"Andrologia"},{"key":"10.1016\/j.urology.2026.09.013_bib27","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1159\/000497281","article-title":"A clinical study on microsurgical denervation of spermatic cord for refractory chronic orchialgia","volume":"103","author":"Long","year":"2019","journal-title":"Urol Int"},{"key":"10.1016\/j.urology.2026.09.013_bib28","doi-asserted-by":"crossref","first-page":"319","DOI":"10.4103\/aja.aja_87_18","article-title":"Validation of targeted microsurgical spermatic cord denervation: comparison of outcomes to traditional complete microsurgical spermatic cord denervation","volume":"21","author":"Kavoussi","year":"2019","journal-title":"Asian J Androl"},{"key":"10.1016\/j.urology.2026.09.013_bib29","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.sxmr.2017.06.002","article-title":"Micro-denervation of the spermatic cord for post-vasectomy pain management","volume":"6","author":"Tan","year":"2018","journal-title":"Sex Med Rev"},{"key":"10.1016\/j.urology.2026.09.013_bib30","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1016\/j.pain.2014.05.022","article-title":"Prospective double-blind preoperative pain clinic screening before microsurgical denervation of the spermatic cord in patients with testicular pain syndrome","volume":"155","author":"Oomen","year":"2014","journal-title":"Pain"}],"container-title":["Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526005893?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526005893?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T10:03:57Z","timestamp":1793786637000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090429526005893"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"alternative-id":["S0090429526005893"],"URL":"https:\/\/doi.org\/10.1016\/j.urology.2026.09.013","relation":{},"ISSN":["0090-4295"],"issn-type":[{"value":"0090-4295","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Standard vs Targeted Microsurgical Denervation of Spermatic Cord for Chronic Orchialgia: A Prospective Comparative Study","name":"articletitle","label":"Article Title"},{"value":"Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urology.2026.09.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}