음부배부신경절제술 후 발생한 만성 음경부 신경병증성 통증 환자에서의 척수신경자극술의 치료 효과 경험
Experience with Spinal Cord Stimulation for Treating Intractable Penile Pain after Partial Neurectomy of the Dorsal Penile Nerve
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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.
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.
참고문헌 (15)
- John JB, "History of pain consepts and therapies. In: Bonica's management of pain. 3rd ed", pp.8~15 (2001), Lippincott Williams & Wilkins
- Bennett GJ, "A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man", Pain, 33, pp.87~107 (1988)
- Seltzer Z, "A novel behavioral model of neuropathic pain disorders produced in rats by partial sciatic nerve injury", Pain, 43, pp.205~218 (1990)
- Kim SH, "An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat", Pain, 50, pp.355~363 (1992)
- Gustorff B, "Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey", Acta Anaesthesiol Scand, 52, pp.132~136 (2008)
- Veldman PH, "Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients", Lancet, 342, pp.1012~1016 (1993)
- You HS, "The partial neurectomy of the dorsal nerve of the penis for patient with premature ejaculation", Korean J Androl, 18, pp.143~148 (2000)
- Saadé NE, "The role of the dorsal columns in neuropathic behavior: evidence for plasticity and non- specificity", Neuroscience, 115, pp.403~413 (2002)
- Wall PD, "Ongoing activity in peripheral nerves: the physiology and pharmacology of impulses originating from a neuroma", Exp Neurol, 43, pp.580~593 (1974)
- Chung K, "Abnormalities of sympathetic innervation in the area of an injured peripheral nerve in a rat model of neuropathic pain", Neurosci Lett, 162, pp.85~88 (1993)
- Neugebauer V, "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, 64, pp.299~311 (1990)
- Coderre TJ, "The contribution of excitatory amino acids to central sensitization and persistent nociception after formalin-induced tissue injury", J Neurosci, 12, pp.3665~3670 (1992)
- Lee SC, "Electrical stimulation therapy. In: Pain medicine. 3rd ed", pp.694~695 (2007), Koonja Publishing Inc
- John CO, "Spinal cord stimulation in axial low back pain: solving dilemma", Pain Med, 7, pp.58~63 (2006)
- North RB, "Spinal cord stimulation for axial low back pain: a prospective, controlled trial comparing dual with single percutaneous electrodes", Spine, 30, pp.1412~1418 (2005)