Haider Naeem, Gargya Akshat
Anesthesiology and Pain Medicine, University of Vermont Medical Center, Burlington, USA.
Cureus. 2023 Jul 22;15(7):e42298. doi: 10.7759/cureus.42298. eCollection 2023 Jul.
Chronic scrotal pain (CSP) is a challenging problem for both pain physicians and urologists. Depending on the cause, treatment options may include pharmacological management, spermatic cord blocks, microsurgical denervation of the spermatic cord, botulinum toxin injections, and ultrasound-guided peripheral nerve stimulation (PNS) of ilioinguinal and iliohypogastric nerves. We describe a new target for the treatment of CSP by PNS of the L2 spinal nerve and a novel technical approach of using fluoroscopic guidance to stimulate lumbar spinal nerves, which can potentially be used for different indications.
慢性阴囊疼痛（CSP）对于疼痛科医生和泌尿外科医生来说都是一个具有挑战性的问题。根据病因不同，治疗选择可能包括药物治疗、精索封闭、精索显微去神经术、肉毒杆菌毒素注射以及超声引导下的髂腹股沟神经和髂腹下神经周围神经刺激（PNS）。我们描述了一种通过L2脊神经PNS治疗CSP的新靶点以及一种使用荧光透视引导刺激腰脊神经的新技术方法，该方法可能用于不同的适应症。
