A 70-year-old man with pudendal nerve neuralgia secondary to a direct injury after transurethral resection of the prostate (TUR-P).
She reported neuropathic pain (burning, paresthesias) in the external genitalia.
Severe intensity (VAS 10/10), associated with pain upon defecation and voiding, which relieved after the act.
As a first step in the unit, after 5 years of pain, pharmacological therapy with acetaminophen (200 mg/d), pregabalin (150 mg/12 hours), amitriptyline (25 mg/200 mg/12 hours) and tramadol was started.
Due to the lack of response to pharmacological treatment, following the protocol of the previous cases, it is reported in the Beck depression questionnaire and the Goldberg health questionnaire depression and mild anxiety, which do not contraindicate the placement of the CENPP device in September 2014.
Symptomatic improvement was achieved, so NERSR implantation was performed.
The patient presented a complication of CSF fistula, which resolved at the sixth week with conservative management.
One month after treatment, the patient was pain free.
Currently, the patient has a coverage of 100 % without oral medications.
Beck depression and Goldberg health questionnaire with mild anxiety without depression data.
