Spinal Cord Stimulation for Intractable Testicular Pain: Case Report and Review of the Literature

Dorsal Root Ganglion Stimulation for the Treatment of Bilateral Intractable Chronic Testicular Pain

“…The treatment of intractable testicular pain has been described in many case reports using either SCS or sacral nerve stimulation. The case report of the conventional SCS implantation described the epidural insertion of two 8-contact leads (Octrodes) close to the dorsal column of the spinal cord at the level of T12-L1 and then starting their stimulation which caused a consistent testicular pain relief (100%) and improvement of the quality of life of the patient at four-months follow-up, but at nine months, he reported continued pain relief while sitting with the stimulator on, but experienced strong electrical shocks along the spine when standing or walking which was overcome with additional programs for standing and walking (4). Also, the case report of sacral nerve stimulation implantation described the insertion of two 8-contact leads (Octrodes) through the sacral hiatus and was placed just medial to the right sided S1, S2, and S3 sacral foramen.…”

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

“…A literature review including PubMed, Ovid MEDLINE, and Ovid EMBASE databases yielded just two prior reports of successful utilization of SCS for chronic testicular pain. [ 6 , 9 ] In 2011, Nouri and Brish reported a 57-year-old patient with a history of malignancy-related orchalgia refractory to opioids, ilioinguinal nerve blocks, iliohypogastric nerve blocks, and ganglion impar nerve blocks, who underwent SCS placement resulting in >80% pain reduction with a decrease in VAS scores from 5/10 to 1/10 at 6 weeks follow-up [ Table 1 ]. [ 9 ] In 2016, Kiritsy and Siefferman reported a 59-year-old male with bilateral intractable testicular pain due to ruptured epididymitis, who failed various medical interventions (e.g., left spermatic cord stripping and nerve blocks) and underwent SCS; 3 weeks postoperatively, he had 100% pain relief that lasted for 9 months [ Table 1 ].…”

“…[ 9 ] In 2016, Kiritsy and Siefferman reported a 59-year-old male with bilateral intractable testicular pain due to ruptured epididymitis, who failed various medical interventions (e.g., left spermatic cord stripping and nerve blocks) and underwent SCS; 3 weeks postoperatively, he had 100% pain relief that lasted for 9 months [ Table 1 ]. [ 6 ]…”

“…[9] In 2016, Kiritsy and Siefferman reported a 59-year-old male with bilateral intractable testicular pain due to ruptured epididymitis, who failed various medical interventions (e.g., left spermatic cord stripping and nerve blocks) and underwent SCS; 3 weeks postoperatively, he had 100% pain relief that lasted for 9 months [Table 1]. [6] Testicular pain as a complication of SCS Huang et al reported two cases of acute, neuropathic testicular and scrotal pain following a percutaneous SCS trial. [4] One case was resolved with corticosteroids and stimulator activation, while the other became refractory, and the SCS had to be removed.…”