Korean J Pain.  2009 Apr;22(1):107-111. 10.3344/kjp.2009.22.1.107.

Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University, Suwon, Korea. painhan@hanmir.com
  • 2Pain Clinic, CHA General Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea.

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.

Keyword

intractable neuropathic pain; spinal cord stimulation

MeSH Terms

Adult
Denervation
Humans
Hyperalgesia
Ketamine
Male
Nerve Block
Neuralgia
Penis
Premature Ejaculation
Pudendal Nerve
Spinal Cord
Spinal Cord Stimulation
Ketamine
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