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Successful Treatment of Refractory Penile Pain in Patient with Ankylosing Spondylitis with Caudal Epidural Steroid Injection: A Novel Case Report
Neuropathic penile pain is a clinical diagnosis of exclusion requiring a thorough workup. Nantes offers criteria for diagnosing pudendal neuralgia, and recognizes various clinical features that may be suggestive of this disorder. These criteria include pain in the anatomical territory, pain worsened by sitting, unaffected sleep, negative sensory loss, and a positive diagnostic pudendal nerve block. Successful treatment has shown to include behavioral modifications, physiotherapy, neuropathic medications, nerve block, decompression, surgical resection, radiofrequency ablation, and spinal cord stimulation, however efficacy can be limited. Additionally, chronic refractory penile pain can also have a significant social, emotional, vocational, and physical impact on a patient’s daily life.