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米罗加巴林治疗后严重慢性阴茎疼痛显著改善:一例报告

Marked Improvement in Severe Chronic Penile Pain Following the Administration of Mirogabalin: A Case Report.

作者信息

Obara Shinju, Nakano Yuko, Oishi Reiko, Inoue Satoki

机构信息

Anesthesiology, Fukushima Medical University, Fukushima, JPN.

出版信息

Cureus. 2024 Jul 23;16(7):e65231. doi: 10.7759/cureus.65231. eCollection 2024 Jul.

Abstract

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.

摘要

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。

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本文引用的文献

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A Case of Chronic Penile Pain Successfully Treated With Dorsal Nerve Block.一例成功采用背神经阻滞治疗的慢性阴茎痛病例。
A A Pract. 2023 Aug 23;17(8):e01714. doi: 10.1213/XAA.0000000000001714. eCollection 2023 Aug 1.
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Cryoablation of the penile nerves for chronic penile pain.阴茎神经冷冻消融治疗慢性阴茎疼痛。
Int J Impot Res. 2023 Aug;35(5):415-418. doi: 10.1038/s41443-022-00587-z. Epub 2022 Jun 6.
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Pregabalin for postherpetic itch: a case report.普瑞巴林治疗疱疹后瘙痒:一例报告
JA Clin Rep. 2020 Mar 23;6(1):24. doi: 10.1186/s40981-020-00330-x.
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The hospital anxiety and depression scale.医院焦虑抑郁量表。
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.

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