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KMID : 0363120090220010107
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Korean Journal of Pain
2009 Volume.22 No. 1 p.107 ~ p.111
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Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve
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Kim Na-Hyun
Kim Chan
Han Kyung-Ream
Park Kyung-Eun
Kim Nan-Seol
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Abstract
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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.
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KEYWORD
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intractable neuropathic pain, spinal cord stimulation
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