{"id":"a5456de6-45d4-43d8-a596-0a83dabc9182","slug":"spinal-cord-stimulation-for-genitofemoral-neuropathy-a-case-report-and-review-of-the-literature","title":"Spinal cord stimulation for genitofemoral neuropathy: A case report and review of the literature","authors":["James Christopher Mamaril-Davis","Neil Joshi","Ryan Palsma","Pedro Aguilar-Salinas","Christina M. Walter","Shamam Hashim","Martin Weinand"],"abstract":"Background: Chronic testicular pain due to genitofemoral neuropathy often becomes refractory to conservative medical therapy. Neurostimulation is a potentially useful treatment option, should the neuropathic pain remain refractory to more invasive procedures such as orchiectomy. We provide a case report of spinal cord stimulation (SCS) for successful treatment of genitofemoral neuropathy and have also reviewed the literature to find similar cases which required a similar treatment paradigm. Case Description: A 42-year-old male underwent SCS for refractory testicular and groin pain. SCS through a four-column, 2 × 8 contact neurostimulator paddle lead, was implanted in the mid-thoracic-9 (T9) vertebral level, providing > 50% testicular pain relief with a decrease in visual analog scale scores from 8–10/10 to 3–4/10. The patient required one adjustment to the stimulation parameters at the time of the 6 weeks follow-up visit due to over-stimulation. He then continued to experience >50% resolution in pain 9 months later. A review of the literature yielded only two similar cases that successfully utilized SCS for treatment of chronic testicular pain. Conclusion: SCS should be considered as a possible treatment option for patients with chronic testicular pain localized to the genitofemoral nerve distribution.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a5456de6-45d4-43d8-a596-0a83dabc9182/featured/hero-cropped-1781560718039.jpg","publishDate":"2022-11-18T00:00:00.000Z","doi":"10.25259/SNI_901_2022","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/11/12013/SNI-13-533.pdf"}