Urology Medical News about Pain Testicular Diseases Sacral Nerve Stimulation

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Sacral Nerve Stimulation as a Treatment Modality for Intractable Neuropathic Testicular Pain
Pain Physician, 11/25/09

McJunkin TL et al. – The authors present a case of a male who presented with over a decade of chronic right–sided testicular pain secondary to recurrent epididymitis. Before arriving at this clinic the patient had an epididymectomy performed with no appreciable improvement in pain. Initially ilioinguinal, iliohypogastric, and genetofemoral nerve blocks; right–sided S1, S2, and S3 transforaminal epidural steroid injections (TFESIs) with inferior hypogastric blocks; and right–sided T12–L1, L1–L2, and L2–L3 TFESIs all failed to provide pain relief. After conservative therapies had failed, a sacral nerve stimulation trial was done via a caudal epidural approach. The permanent implant has provided the patient with sustained 80% decrease in pain at 4 months status post permanent sacral nerve stimulation implant.

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