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Successful Treatment of Testicular Pain With Peripheral Nerve Stimulation of the Cutaneous Branch of the Ilioinguinal and Genital Branch of the Genitofemoral Nerves

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  • For more information on author guidelines, an explanation of our peer review process, and conflict of interest informed consent policies, please go to http://www.wiley.com/bw/submit.asp?ref=1094-7159&site=1

  • Financial support: Oxford Functional Neurosurgery is supported by the MRC, EPSRC, The Wellcome Trust, The Norman Collison Foundation, The Charles Wolfson Charitable Trust, and the NIHR Biomedical Research Centre, Oxford.

  • Conflict of Interest: Professor Tipu Z. Aziz is on the editorial board of Neuromodulation. The other authors reported no conflict of interest.

Frederikke Rosendal, PhD, Department of Neurosurgery, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK. Email: frosendal@hotmail.com

Abstract

Objectives:  To assess the effect of peripheral nerve stimulation on neuropathic testicular pain.

Material and Methods:  A 30-year-old man with a four-year history of chronic testicular pain following scrotal hydrocele surgery had two percutaneous leads implanted in his groin and low-frequency stimulation of the cutaneous branch of the ilioinguinal and genital branch of the genitofemoral nerves.

Result:  At seven-month follow-up, the pain intensity had declined from 9/10 to 2/10 on the numeric rating scale.

Conclusion:  We report the successful implantation of an ilioinguinal and genitofemoral nerve stimulator for sustained suppression of intractable neuropathic testicular pain.

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