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Saw a patient last week with testicular pain so bad, he feels he "wants to cut" his "nuts off". Feels deep ache in groin. Having penis pain as well. No complaint of numbness. Has had prior extensive w/u in Urology including US testicles and STD w/u.
In addition, is having back pain, likely discogenic with pain when coughing, bearing down, forward flexion, and MRI showing L5-S1 annular tear.
Any thoughts?
From what I understand, both pudendal and ilioinguinal neuralgia could present with testicular pain. Would you go forward with pudendal block, ilioinguinal block, epidural at T12-L1?
In addition, is having back pain, likely discogenic with pain when coughing, bearing down, forward flexion, and MRI showing L5-S1 annular tear.
Any thoughts?
From what I understand, both pudendal and ilioinguinal neuralgia could present with testicular pain. Would you go forward with pudendal block, ilioinguinal block, epidural at T12-L1?