Ultrasound-guided pulsed radiofrequency ablation of the genital branch of the genitofemoral nerve for treatment of intractable orchalgia.
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.
Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA.
Abdullah Sulieman
AS
Terkawi
Department of Anesthesiology, King Fahad Medical City, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Kamel
K
Romdhane
Chronic orchalgia; genital branch of genitofemoral nerve; pulsed radiofrequency; ultrasound