Welcome to Avant, the premier medical clinic specializing in chronic testicular and/or groin pain. Led by Dr. Parekattil, a renowned expert in the field, our clinic offers the most advanced techniques and treatments developed over 15 years of experience. Dr. Parekattil is a leading authority on this subject, with a rich publication history in papers, book chapters, books, and AUA courses. Dr. Parekattil was also recently on the AUA (American Urological Association) Guidelines Committee for Pelvic Pain for the 2025 Guidelines. Below are a collection of videos, papers and testimonials that may help you decide which treatment option is best for you. We offer spermatic cord blocks, ilionguinal blocks, Targeted denervation of the spermatic cord, Peri-spermatic cord cryoablation, botox injections, hormone replacement therapy, and low intensity shock wave therapy.