Spermatic Cord Block Spermatic Cord Block

Spermatic Cord Block

This procedure is used for patients who have chronic testicle pain without any evidence of infection or tumor.

  • Duration:
    15 min
  • Sessions:
    1 round


A spermatic cord block can offer temporary relief to men who experience chronic pain in the testes. A spermatic cord block is used for patients who do not have an infection or tumor, but continue to experience pain.

The spermatic cord block is a useful maneuver when performing procedures on the scrotal contents to minimize pain. It is also useful for patients complaining of testicular/epididymal pain prior to any more invasive procedures.

It is used both as a diagnostic test to determine whether a patient would be appropriate for a Microsurgical Denervation of the Spermatic Cord, and as a therapeutic treatment for testicle pain in select patients.

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The spermatic cord is a bundle of vessels, nerves and ducts that run to and from the testes. They are contained in a thin sheath of connective tissue that looks like cord.

The nerves that run through the cord carry pain signals to the testicles. A spermatic cord block stops the transmission.

A spermatic cord block procedure is generally a temporary solution – either as a prelude to surgery or a series of treatments to maintain reduced pain levels.
A spermatic cord block is typically performed in the case of idiopathic (of unknown cause) testicular pain.

Chronic testicular pain can vary throughout the day and can worsen when a patient is sitting, driving or engaging in sexual activity. Even a temporary relief is welcome.


Benefits from a Spermatic Cord Block:

  • Men with chronic testicular pain should feel relief within 8 hours.
  • For some it may last days or weeks, particularly if their pain occurs primarily during specific activities.
  • At times the relief is permanent. There are no known side effects, except for occasional minor bruising at the injection site.
  • Some men who have the block notice a difference in their pain level once the procedure’s anaesthetic effect wears off. These men may choose to have a series of spermatic cord blocks as a treatment protocol.
  • Some research suggests that 4-6 weekly spermatic cord blocks can great reduce pain levels, allowing men with chronic testicular pain to regain quality of life.


There is a small risk of bruising associated with introducing the needle. There is a very small chance of systemic absorption of the lidocaine/Marcaine. We take precautions to not inject directly into a vein to reduce the chance of this happening.

In a very small percentage of patients, they can experience a temporary worsening of the pain. It is not known why this happens. Typically the biggest risk is that the procedure will not work, though in properly selected patients this is uncommon.


We pride ourselves on our compassionate and approachable nature. We understand the need to take the time to explain complex medical conditions in simple terms to ensure that you and your family are properly informed throughout your patient journey.

Book a consultation with Dr. Steinberg online or call us at 514-312-2821.



Testicular pain


The procedure works by injecting an anaesthetic into the nerves within the spermatic cord. There is no incision, just an injection through the skin. The simple procedure is performed in the privacy of our clinic. No hospitalization or general anaesthesia required.

The doctor will find locate the nerves in the spermatic cord that transmit pain signals. This is done without any incision; the doctor grasps the nerve fibers through the skin.

Using a small needle, the doctor injects a combination of steroid and local anaesthetic directly around nerves.

Though there is no pain involved, some men may feel a slight pinch at the injection site.

The spermatic cord block is typically completed in less than five minutes.

No recovery period is required.

In a very small percentage of patients, they can experience a temporary worsening of the pain. It is not known why this happens. Typically the biggest risk is that the procedure will not work, though in properly selected patients this is uncommon.

For this procedure we use local anesthetic. Most patients will notice a change in their pain level for about 8 hours. For some people it will last longer (especially if they only feel pain during certain activities).


How long does the effect from a spermatic block last?

The results can be short or long lasting. Several weeks to permanent. Unfortunately some men experience only short term or even no relief.

How long does the treatment take?

The procedure takes about 5 minutes in total. Expect to be at the clinic for around a half hour.

Do I need to miss work?

No, resuming normal activities after the procedure isn’t a problem. There’s no aftercare or post treatment recovery period required.

Are there any risks?

There is no evidence of adverse effects. There could be minor bruising at the injection site. A very small percentage of patients sometimes experience a temporary worsening of the pain. Rarely, men can have an allergic reaction to the medications.

What if it doesn’t work?

The procedure does work in almost all the men who have it done. Unfortunately, if it doesn’t, the doctor will need to continue seeking an underlying cause or effective treatment for the condition.

The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.


At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.


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