Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve.
10.3344/kjp.2009.22.1.107
- Author:
Na Hyun KIM
1
;
Kyung Ream HAN
;
Kyung Eun PARK
;
Nan Seol KIM
;
Chan KIM
;
Sae Young KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University, Suwon, Korea. painhan@hanmir.com
- Publication Type:Case Report
- Keywords:
intractable neuropathic pain;
spinal cord stimulation
- MeSH:
Adult;
Denervation;
Humans;
Hyperalgesia;
Ketamine;
Male;
Nerve Block;
Neuralgia;
Penis;
Premature Ejaculation;
Pudendal Nerve;
Spinal Cord;
Spinal Cord Stimulation
- From:The Korean Journal of Pain
2009;22(1):107-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neuroablation should be performed cautiously because neuropathic pain can occur following denervation of a somatic nerve. A 34-year-old man presented with severe penile pain and allodynia following a selective neurectomy of the sensory nerve that innervated the glans penis for treatment of his premature ejaculation. He was treated with various nerve blocks, including continuous epidural infusion, lumbar sympathetic block and sacral selective transforaminal epidural blocks, as well as intravenous ketamine therapy. However, all of the treatments had little effect on the relief of his pain. We performed spinal cord stimulation as the next therapy. After this therapy, the patient has currently been satisfied for 3 months.
