title: Scrotal pain as the presenting symptom of lumbar disc herniation: a report of 2 cases.
abstract: METHODS
  Case description.
  
  
  OBJECTIVE
  To describe a treatable cause of scrotal pain associated with lumbar disc herniation
  
  
  BACKGROUND
  Scrotal pain due to intraspinal compression of a sacral nerve root caused by lumbar disc herniation is probably very rare, as the literature contains only sporadic single case descriptions.
  
  
  METHODS
  Two patients with isolated scrotal pain were analyzed. In both patients, a lumbar disc herniation was found. Lumbar discectomy was performed in both patients.
  
  
  RESULTS
  Complete and persisting relief of the scrotal pain was obtained after lumbar discectomy.
  
  
  CONCLUSIONS
  Despite the absence of other symptoms or signs suggestive of nerve root involvement, lumbar disc herniation with intraspinal compression of a sacral nerve root seemed the most probable cause of the scrotal pain.
authors.affiliation: Department of Neurology, St. Lucas Andreas Hospital, Amsterdam, The Netherlands. e.wouda@SLAZ.nl
authors.forename: Ernest J
authors.initials: EJ
authors.lastname: Wouda
authors.forename: Sieger
authors.initials: S
authors.lastname: Leenstra
authors.forename: Jan A L
authors.initials: JA
authors.lastname: Vanneste
mesh_terms: D000328:Adult; D017586:Diskectomy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D010146:Pain / Q000175:diagnosis* / Q000209:etiology; D012611:Scrotum / Q000473:pathology*; D013126:Spinal Nerve Roots / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome