Testicular neuropathic pain
A 35 year old gentleman presented to the clinic with neuropathic pain emanating from the left testicle.
Examination findings
On examination of the right testicle there was tenderness on palpation. There was also a reduction to pin prick sensation in the lower part of the right side of the abdomen but no pain on light touch (allodynia).
Medication for neuropathic testicular pain
He had been taking Co-dydramol and Ibuprofen, which gave him minimal pain relief. Most of the time he described the pain as being niggling, although once to twice per week he had bad flare ups of pain which lasted from 2-3 hours. The pain was aggravated by driving and cycling and relieved by lying down.
The patient was started on an increasing dose of Pregabalin up to a maximum of Pregabalin 150 mg twice per day. He remained on this regime for approximately 5½ months when the decision was made to stop it.
Outcome of patient with neuropathic testicular pain
On the treatment, and subsequently off the treatment, his symptoms had dramatically improved and he was left with only very occasional sharp pains which he experienced once to twice per week. He was happy to live with this and keen to discontinue taking the medication. He was then discharged from the clinic.
