A Rare Case of Anorgasmia After Epidural Steroid Injection: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Oct 2024
01 Oct 2024
Historique:
medline:
21
10
2024
pubmed:
21
10
2024
entrez:
21
10
2024
Statut:
epublish
Résumé
Epidural steroid injections (ESI) are an effective nonsurgical option for the management of chronic lower back pain. Despite the increased frequency of ESI for low back pain management, there is a paucity in the literature surrounding systemic long-term effects. Reported adverse effects after fluoroscopically guided ESI with dexamethasone are low. This case report describes the development of anorgasmia in a 49-year-old man with chronic low back pain and bilateral leg radiculopathy, after a fluoroscopically guided L5/S1 interlaminar ESI with dexamethasone. This adverse effect highlights, to the best of our knowledge, the first documented case of anorgasmia after an ESI.
Identifiants
pubmed: 39431634
doi: 10.1213/XAA.0000000000001860
pii: 02054229-202410000-00006
doi:
Substances chimiques
Dexamethasone
7S5I7G3JQL
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01860Subventions
Organisme : No Funding Source
ID : 0
Informations de copyright
Copyright © 2024 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
James SL, Abate D, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789–1858.
Kang WY, Han Z, Zhou Y, et al. Systemic effects of fluoroscopically guided epidural steroid injection with dexamethasone. Korean J Pain. 2019;32:178–186.
Karaman H, Kavak GO, Tüfek A, Yldrm ZB. The complications of transforaminal lumbar epidural steroid injections. Spine (Phila Pa 1976). 2011;36:E819–E824.
Mahabadi N, Doucet A, Wong AL, Mahabadi V. Glucocorticoid induced hypothalamic-pituitary axis alterations associated with hypogonadotropic hypogonadism. Cureus. 2019;2:1–5.
King W, Miller DC, Smith CC; Spine Intervention Society’s Patient Safety Committee. Systemic effects of epidural corticosteroid injection. Pain Med. 2018;19:404–405.
Lee GY, Lee JW, Choi HS, et al. The incidence of various types of systemic reactions related to epidural steroid injections: a prospective observational study. Korean J Radiol. 2018;19:301–310.
Horani MH, Silverberg AB. Secondary Cushing’s syndrome after a single epidural injection of a corticosteroid. Endocr Pract. 2005;11:408–410.
Storlie NR, Abbasi H. Self-reported female orgasm following serial sacroiliac joint injections. Cureus. 2021;13:e16737.
Labbé EE. Sexual dysfunction in chronic back pain patients: implications for clinical research and practice. Clin J Pain. 1988;4:143–150.