Obara Shinju, Nakano Yuko, Oishi Reiko, Inoue Satoki
Anesthesiology, Fukushima Medical University, Fukushima, JPN.
Cureus. 2024 Jul 23;16(7):e65231. doi: 10.7759/cureus.65231. eCollection 2024 Jul.
Chronic penile pain (CPP) is a debilitating condition characterized by persistent penile pain, often accompanied by lower urinary tract symptoms and sexual dysfunction, severely impacting quality of life. Treatment options are limited. We report a case of a 38-year-old man with severe CPP effectively treated with mirogabalin. Initially diagnosed with balanitis, his symptoms evolved to include severe penile pain and mental instability, and he was unresponsive to standard treatments. After multiple failed therapies, mirogabalin was introduced, resulting in significant pain reduction and improved mental health within days. This case highlights mirogabalin's potential efficacy in treating CPP with neuropathic characteristics, suggesting it as a viable treatment option for similar cases. Further studies are warranted to explore its broader applicability.
慢性阴茎疼痛(CPP)是一种使人衰弱的病症,其特征为持续性阴茎疼痛,常伴有下尿路症状和性功能障碍,严重影响生活质量。治疗选择有限。我们报告一例38岁患有严重CPP的男性患者,用米罗加巴林有效治疗。最初诊断为龟头炎,其症状发展为包括严重的阴茎疼痛和精神不稳定,并且他对标准治疗无反应。在多次治疗失败后,使用了米罗加巴林,数天内疼痛显著减轻且心理健康得到改善。该病例突出了米罗加巴林在治疗具有神经病理性特征的CPP方面的潜在疗效,表明它是类似病例的一种可行治疗选择。有必要进行进一步研究以探索其更广泛的适用性。