Just wanted to inform you a a new non-surgical option that we offer for chronic testicular/groin/PVPS pain. There has been a lot of research focusing on the use of stem cell derivatives (exosomes) in the treatment of chronic pain. We now offer targeted exosome injections in the peri-vasal/peri-cord area to try to help reduce the pain. It is a simple office based injection procedure, just takes a few minutes, under IV sedation or nitrous. So far we are getting about a 60-70% response rate (>50% reduction in pain). Not sure how durable it is (only have a few months f/u so far). It is not covered by insurance, and is expensive. It costs $5000 for one side, $6000 for both sides. If you are interested, feel free to contact us at:
I still think, reversal is a great option for men with PVPS and I tend to lean in that direction as the first line surgical option, followed by targeted denervation, and then cryo, and then botox. However, exosome injection could be an option for patients who are just not ready for surgery.
Dealing with PVPS or chronic testicular/groin pain can be quite debilitating. We are trying our best to give patients as many options as possible and we are always looking for better ways to help these patients. The key is to stay positive and have hope. The technology and treatment modalities in medicine keep getting better. Our understanding of PVPS is not great, but we are making strides and we are trying diligently to try get more awareness and options for patients dealing with this debilitating condition.
Sijo Parekattil, MD
Avant Concierge Urology
Winter Garden, Florida