CASE REPORT
Year : 2014  |  Volume : 8  |  Issue : 2  |  Page : 294-298

Ultrasound-guided pulsed radiofrequency ablation of the genital branch of the genitofemoral nerve for treatment of intractable orchalgia


1 Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA
2 Department of Anesthesiology, King Fahad Medical City, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Abdullah Sulieman Terkawi
Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.130755

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Chronic orchalgia is a frustrating clinical problem for both the patient and the physician. We present a 17-year-old boy with a bilateral idiopathic chronic intractable orchalgia with failed conservative treatment. For 2 years, he suffered from severe attacks of scrotal pain that affected his daily activities and caused frequent absence from school. Ultrasound-guided pulsed radiofrequency ablation (PRF) of the genital branches of the genitofemoral nerve performed after local anesthetic nerve block confirmed the diagnosis and yielded 6 weeks of symptom relief. Seven-month follow-up revealed complete satisfactory analgesia. The use of PRF is an effective and non-invasive approach to treat intractable chronic orchalgia.


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