The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve

음부배부신경절제술 후 발생한 만성 음경부 신경병증성 통증 환자에서의 척수신경자극술의 치료 효과 경험

  • Kim, Na Hyun (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Park, Kyung Eun (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Nan Seol (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Chan (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Sae Young (Pain Clinic, CHA General Hospital, College of Medicine, Pochon CHA University)
  • 김나현 (아주대학교 의과대학 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 마취통증의학교실) ;
  • 박경언 (아주대학교 의과대학 마취통증의학교실) ;
  • 김난설 (아주대학교 의과대학 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 마취통증의학교실) ;
  • 김세영 (포천중문의과대학교 분당차병원 통증클리닉)
  • Received : 2008.09.25
  • Accepted : 2008.11.27
  • Published : 2009.04.01
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Abstract

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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References

  1. John JB, John DL: History of pain consepts and therapies. In: Bonica's management of pain. 3rd ed. Edited by Loerser JD: Philadelphia, Lippincott Williams & Wilkins. 2001, pp 8-15
  2. Bennett GJ, Xie YK: A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man. Pain 1988; 33: 87-107 https://doi.org/10.1016/0304-3959(88)90209-6
  3. Seltzer Z, Dubner R, Shir Y: A novel behavioral model of neuropathic pain disorders produced in rats by partial sciatic vnerve injury. Pain 1990; 43: 205-18 https://doi.org/10.1016/0304-3959(90)91074-S
  4. Kim SH, Chung JM: An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat. Pain 1992; 50: 355-63 https://doi.org/10.1016/0304-3959(92)90041-9
  5. Gustorff B, Dorner T, Likar R, Grisold W, Lawrence K, Schwarz F, et al: Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey. Acta Anaesthesiol Scand 2008; 52: 132-6 https://doi.org/10.1111/j.1399-6576.2007.01486.x
  6. Veldman PH, Reynen HM, Arntz IE, Goris RJ: Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 1993; 342: 1012-6 https://doi.org/10.1016/0140-6736(93)92877-V
  7. You HS: The partial neurectomy of the dorsal nerve of the penis for patient with premature ejaculation. Korean J Androl 2000; 18: 143-8
  8. Saadé NE, Baliki M, El-Khoury C, Hawwa N, Atweh SF, Apkarian AV, et al: The role of the dorsal columns in neuropathic behavior: evidence for plasticity and nonspecificity. Neuroscience 2002; 115: 403-13 https://doi.org/10.1016/S0306-4522(02)00417-7
  9. Wall PD, Gutnick M: Ongoing activity in peripheral nerves:the physiology and pharmacology of impulses originating from a neuroma. Exp Neurol 1974; 43: 580-93 https://doi.org/10.1016/0014-4886(74)90197-6
  10. Chung K, Kim HJ, Na HS, Park MJ, Chung JM: Abnormalities of sympathetic innervation in the area of an injured peripheral nerve in a rat model of neuropathic pain. Neurosci Lett 1993; 162: 85-8 https://doi.org/10.1016/0304-3940(93)90566-4
  11. Neugebauer V, Schaible HG: Evidence for a central component in the sensitization of spinal neurons with joint input during development of acute arthritis in cat's knee. J Neurophysiol 1990; 64: 299-311 https://doi.org/10.1152/jn.1990.64.1.299
  12. Coderre TJ, Melzack R: The contribution of excitatory amino acids to central sensitization and persistent nociception after formalin-induced tissue injury. J Neurosci 1992; 12: 3665-70
  13. Lee SC: Electrical stimulation therapy. In: Pain medicine. 3rd ed. Edited by The Korean Pain Society: Seoul, Koonja Publishing Inc. 2007, pp 694-5
  14. John CO: Spinal cord stimulation in axial low back pain:solving dilemma. Pain Med 2006; 7(Suppl 1): 58-63 https://doi.org/10.1111/j.1526-4637.2006.00123.x
  15. North RB, Kidd DH, Olin J, Sieracki JM, Farrokhi F, Petrucci L, et al: Spinal cord stimulation for axial low back pain: a prospective, controlled trial comparing dual with single percutaneous electrodes. Spine 2005; 30: 1412-8 https://doi.org/10.1097/01.brs.0000166502.05449.a8