Yan Xiu-Jie, Wu Bing, He Xin, Tian Zi-Kai, Peng Bao-Gan
Department of Spine Surgery, The Third Medical Center, PLA (People's Liberation Army) General Hospital, Beijing 100039, China.
World J Clin Cases. 2023 Mar 16;11(8):1794-1798. doi: 10.12998/wjcc.v11.i8.1794.
Testicular pain caused by lumbar disease is uncommon in the clinic. Here we reported a case of discogenic low back pain with testicular pain that was successfully cured.
A 23-year-old male patient presented to our department with chronic low back pain. Based on his clinical symptoms, signs and imaging, he was diagnosed with discogenic low back pain. Since conservative treatment for more than half a year did not significantly improve his low back pain, we decided to treat it with intradiscal methylene blue injection. During the course of surgery, we again identified the low back pain as originating from the degenerated lumbar disc by analgesic discography. Interestingly, the patient's low back pain disappeared along with the testicular pain that had been present for more than 3 mo. After the operation, the patient's low back pain improved, and the testicular pain did not reappear.
Intradiscal methylene blue injection is a convenient and effective surgical intervention for the treatment of discogenic low back pain. Lumbar disc degeneration may also be a possible clinical cause of testicular pain. Methylene blue injection in the diseased disc improved the low back pain, and the accompanying testicular pain was successfully managed.
临床上，由腰椎疾病引起的睾丸疼痛并不常见。在此，我们报告一例因椎间盘源性腰痛伴发睾丸疼痛且成功治愈的病例。
一名23岁男性患者因慢性腰痛前来我院就诊。根据其临床症状、体征及影像学检查，诊断为椎间盘源性腰痛。由于半年多的保守治疗未能显著改善其腰痛症状，我们决定采用椎间盘内注射亚甲蓝进行治疗。手术过程中，通过镇痛性椎间盘造影再次确定腰痛源于退变的腰椎间盘。有趣的是，患者的腰痛随着持续3个多月的睾丸疼痛一同消失。术后，患者的腰痛症状改善，睾丸疼痛未再出现。
椎间盘内注射亚甲蓝是治疗椎间盘源性腰痛的一种简便有效的手术干预方法。腰椎间盘退变也可能是睾丸疼痛的一个潜在临床病因。向病变椎间盘内注射亚甲蓝改善了腰痛症状，同时伴随的睾丸疼痛也得以成功解决。
