Pulsed radiofrequency as a treatment for groin pain and orchialgia.
Inguinal and testicular pain are challenging problems for which no reliable, standardized treatment exists. We report 3 patients with groin pain or orchialgia who were treated with pulsed radiofrequency of the nerves innervating these areas. All 3 patients reported complete pain relief at their 6-month follow-up visits. The techniques and settings used for the nerve blocks and radiofrequency procedures are explained in detail, along with a brief synopsis of the rationale for using it. Randomized, placebo-controlled studies are needed to better assess the efficacy of this procedure and identify eligible candidates.
Cohen
Steven P
SP
Department of Anesthesia, Pain Management Center, Walter Reed Army Medical Center, Washington, DC, USA
Foster
Andrew
A
D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D006119:Groin / Q000294:innervation; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods; D009437:Neuralgia / Q000628:therapy; D010149:Postoperative Pain / Q000628:therapy*; D013733:Testicular Diseases / Q000628:therapy*; D013737:Testis / Q000294:innervation; D014659:Vasectomy / Q000009:adverse effects