Spinal cord stimulation for genitofemoral neuropathy: A case report and review of the literature

James Christopher Mamaril-Davis, Neil Joshi, Ryan Palsma, Pedro Aguilar-Salinas, Christina M. Walter, Shamam Hashim, Martin Weinand

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Chronic testicular pain due to genitofemoral neuropathy often becomes refractory to conservative medical therapy. Neurostimulation is a potentially useful treatment option, should the neuropathic pain remain refractory to more invasive procedures such as orchiectomy. We provide a case report of spinal cord stimulation (SCS) for successful treatment of genitofemoral neuropathy and have also reviewed the literature to find similar cases which required a similar treatment paradigm. Case Description: A 42-year-old male underwent SCS for refractory testicular and groin pain. SCS through a four-column, 2 . 8 contact neurostimulator paddle lead, was implanted in the mid-thoracic-9 (T9) vertebral level, providing > 50% testicular pain relief with a decrease in visual analog scale scores from 8-10/10 to 3-4/10. The patient required one adjustment to the stimulation parameters at the time of the 6 weeks follow-up visit due to over-stimulation. He then continued to experience >50% resolution in pain 9 months later. A review of the literature yielded only two similar cases that successfully utilized SCS for treatment of chronic testicular pain. Conclusion: SCS should be considered as a possible treatment option for patients with chronic testicular pain localized to the genitofemoral nerve distribution.

Original languageEnglish (US)
Article numberA5
JournalSurgical Neurology International
Volume13
DOIs
StatePublished - 2022

Keywords

  • Genitofemoral
  • Orchalgia
  • Spinal cord stimulation
  • Testicular pain

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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