In an unusual case, a man's premature, painful ejaculations turned out to have a rare cause: a cyst interfering with nerves near the base of his spinal cord.

Most of these patients present as typical low-back pain sufferers. Tarlov cysts can compress the nerve roots, causing a multitude of symptoms, including but not limited to: ...

That’s the distribution of the L5 and S1 nerves. The MRI shows spinal stenosis at this level. Most perineural cysts are incidentally noted by MRI and do not cause symptoms.

The surgery might earn Dr Khetan a second entry in the prestigious Guinness World Records, as no one has reportedly claimed to have successfully removed a 14 cm cyst from the spine before. His ...