Podium Session

Poster, Podium & Video Sessions

PD05-02: Feasibility Testing of a Male Chronic Genital Pain Clinic to Identify Men with Chronic Unexplained Orchialgia

Friday, May 12
9:40 AM - 9:50 AM
Location: BCEC: Room 159

Presentation Authors: Susanne Quallich*, Janis Miller, Cynthia Arslanian-Engoren, Anne Pelletier Cameron, Ann Arbor, MI

Introduction: Chronic pain is an important public health issue across the world. Men with chronic unexplained orchialgia (CUO) are an understudied population, for whom there are significant knowledge gaps related to prevalence, demographics, etiology, and reliable treatment. This research begins to address these knowledge gaps.

Methods: This was a one-year feasibility study consisting of a convenience sample of men with chronic genital pain (non-pelvic pain) seen in an adult urology specialty clinic focused on men with CUO, and staffed by a nurse practitioner.

Results: A total of 228 men were evaluated in this half-day clinic (Figure 1): 107 were new referrals; 15 were scheduled for a second opinion; and 106 were previously evaluated for pain issues. In 125 men a diagnosis other than pain or pain at non-scrotal/testicular sites was identified, meaning that in 84% of men referred for "unexplained" orchialgia an actual cause was established. The algorithm for evaluation is shown in Figure 2. This is the first project to report the range of diagnoses associated with CUO in a given timeframe. After identifying etiologies, 20 men had true unexplained pain. This busy academic department sees over 38,000 visits a year, suggesting a prevalence for true CUO at < 1%.

Conclusions: Far fewer men than anticipated had truly unexplained chronic orchialgia. Offering a dedicated clinic for men with chronic genital pain provided rapid access to specialized expertise and accelerated diagnosis of etiologies for chronic genital pain. Conservative symptom management was the first course of treatment pursued during the timeframe of data collection. This specialized clinic decreases costs to the healthcare system, utilizing a staged screening strategy that maximized the value of tests and treatments offered, and by scheduling men with a specialized, but non-surgical, clinician. Future research will include ongoing data collection to achieve a larger sample size.

Source Of Funding: none

Susanne Quallich, PhD, NP

University of Michigan

Susanne A. Quallich, PhD, ANP-BC, NP-C, CUNP, FAANP has been working as an NP nurse practitioner since 1996, and has been the Andrology Nurse Practitioner at University of Michigan since 2002. She has focused on raising awareness of men's sexual and reproductive health needs, and engages in translational research that translates to improvements in men’s care. Her unique clinical focus in the areas of male sexual and reproductive health have made her a thought leader and expert among her peers in these areas, and she has published a variety of book chapters and journal articles on these topics. The Michigan Council of Nurse Practitioners elected her as its Nurse Practitioner of the Year for 2005, and in 2008 she was awarded the Society of Urologic Nurses and Associates President’s Trophy for her contributions to urologic nursing. She was inducted as a Fellow of the American Association of Nurse Practitioners due to her work in education and promotion of the specialty NP role in Urology.

Ms. Quallich is an editorial board member for the peer-reviewed journal, Urologic Nursing, and Past President for the Certification Board for Urologic Nurses and Associates. She is an active member in various professional societies, and was the 1st Nurse Practitioner elected into the Society for Male Reproduction in Urology, the Society for the Study of Male Reproduction. She was part of the SUNA taskforce guiding the creation of a core curriculum for urology nursing at all levels.

Ms. Quallich is co-editor of a evidence-based manual for NPs working in urology that was published in May 2016. She was appointed to work with the American Urologic Association 2013 taskforce that developed a White Paper providing an overview of the current regulatory environment and guidance on how to integrate NPs and PAs into urology practices.

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PD05-02: Feasibility Testing of a Male Chronic Genital Pain Clinic to Identify Men with Chronic Unexplained Orchialgia



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