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Genitofemoral neuralgia

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https://www.readbyqxmd.com/read/27676683/fluoroscopically-guided-pulsed-radiofrequency-neurotomy-technique-for-the-treatment-of-genitofemoral-neuralgia
#1
Vincent F Miccio, Rohit Navlani, Jaclyn H Bonder, Jaspal Ricky Singh
No abstract text is available yet for this article.
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27347767/sandwich-technique-peripheral-nerve-stimulation-peripheral-field-stimulation-and-hybrid-stimulation-for-inguinal-region-and-genital-pain
#2
Andrew Shaw, Mayur Sharma, Zion Zibly, Daniel Ikeda, Milind Deogaonkar
OBJECTIVE: Ilioinguinal neuralgia (IG) and genitofemoral (GF) neuralgia following inguinal hernia repair is a chronic and debilitating neuropathic condition. Recently, peripheral nerve stimulation has become an effective and minimally invasive option for the treatment of refractory pain. Here we present a retrospective case series of six patients who underwent placement of peripheral nerve stimulation electrodes using various techniques for treatment of refractory post-intervention inguinal region pain...
June 27, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/26811947/ultrasound-guided-pulsed-radiofrequency-treatment-of-the-pudendal-nerve-in-chronic-pelvic-pain
#3
D Ozkan, T Akkaya, S Yildiz, A Comert
Chronic pelvic pain is a condition that can be caused by pudendal neuralgia, interstitial cystitis, piriformis syndrome and neuropathy of the ilioinguinal, iliohypogastric and genitofemoral nerves. Based on three case reports this article discusses the clinical effectiveness of pulsed high-frequency radiofrequency (PRF) treatment applied to the pudendal nerve under ultrasound guidance in medicinally treated patients with chronic pelvic pain.
February 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26664155/genitofemoral-neuralgia-adding-to-the-burden-of-chronic-vulvar-pain
#4
Hans Verstraelen, Eline De Zutter, Martine De Muynck
The vulva is a particularly common locus of chronic pain with neuropathic characteristics that occurs in women of any age, though most women with neuropathic type chronic vulvar pain will remain undiagnosed even following multiple physician visits. Here, we report on an exemplary case of a middle-aged woman who was referred to the Vulvovaginal Disease Clinic with debilitating vulvar burning and itching over the right labium majus that had been persisting for 2 years and was considered intractable. Careful history taking and clinical examination, followed by electrophysiological assessment through somatosensory evoked potentials was consistent with genitofemoral neuralgia, for which no obvious cause could be identified...
2015: Journal of Pain Research
https://www.readbyqxmd.com/read/25377757/genitofemoral-neuralgia-a-review
#5
REVIEW
Alper Cesmebasi, Abhishek Yadav, Jerzy Gielecki, R Shane Tubbs, Marios Loukas
Genitofemoral neuralgia is a cause of neuropathic pain that is often debilitating in nature. It is characterized by chronic neuropathic groin pain that is localized along the distribution of the genitofemoral nerve. The symptoms include groin pain, paresthesias, and burning sensation spreading from the lower abdomen to the medial aspect of the thigh. It may present with scrotal pain in male, while females experience symptoms radiating to the labia majora and mons pubis. Genitofemoral neuropathy has been attributed to iatrogenic nerve injury occurring during inguinal and femoral herniorrhaphy, with cases developing after both open and laparoscopic techniques...
January 2015: Clinical Anatomy
https://www.readbyqxmd.com/read/24804105/successful-treatment-of-genitofemoral-neuralgia-using-ultrasound-guided-injection-a-case-report-and-short-review-of-literature
#6
Harsha Shanthanna
A young male patient developed chronic, severe, and disabling right sided groin pain following resection of his left testicular cancer. Since there is considerable overlap, ultrasound guided, selective diagnostic nerve blocks were done for ilioinguinal, iliohypogastric, and genitofemoral nerves, to determine the involved nerve territory. It was revealed that genitofemoral neuralgia was the likely cause. As a therapeutic procedure, it was injected with local anesthetic and steroid using ultrasound guidance. The initial injection led to pain relief of 3 months...
2014: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/24310458/management-of-medically-intractable-genitofemoral-and-ilioingunal-neuralgia
#7
Feridun Acar, Mevci Ozdemir, Fatih Bayrakli, Bayram Cirak, Erdal Coskun, Kim Burchiel
AIM: To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia. MATERIAL AND METHODS: This is a prospective study of 20 patients with genitofemoral and ilioinguinal neuralgias who were treated at our medical center between 2007 and 2011. Genitofemoral and ilioinguinal nerve blocks were performed in all cases after medical treatment had failed to alleviate the patients' pain. Neurectomy was performed for the patients whose pain did not improve...
2013: Turkish Neurosurgery
https://www.readbyqxmd.com/read/23903521/operative-management-of-refractory-neuropathic-inguinodynia-by-a-laparoscopic-retroperitoneal-approach
#8
David C Chen, Jonathan R Hiatt, Parviz K Amid
IMPORTANCE: With the technical success of tension-free inguinal herniorrhaphy, chronic groin pain has far surpassed recurrence as the most common long-term complication. OBJECTIVE: To evaluate laparoscopic triple neurectomy of the ilioinguinal, iliohypogastric, and genitofemoral nerve trunks in the retroperitoneal lumbar plexus for treatment of refractory inguinodynia. DESIGN: Prospective study. SETTING: University hernia center...
October 2013: JAMA Surgery
https://www.readbyqxmd.com/read/22782363/does-nerve-identification-during-open-inguinal-herniorrhaphy-reduce-the-risk-of-nerve-damage-and-persistent-pain
#9
J M Bischoff, E K Aasvang, H Kehlet, M U Werner
PURPOSE: Nerve identification during open inguinal hernia herniorrhaphy has been suggested as one of the factors that may reduce the risk of development of persistent postherniorrhaphy pain. In this prospective study, we evaluated whether intraoperative inguinal nerve identification influenced the risk of development of persistent postherniorrhaphy pain, sensory dysfunction in the groin and functional ability score after open hernia repair. METHODS: A total of 244 men with a primary inguinal hernia underwent open Lichtenstein repair in a high-volume hernia surgery centre, where information on inguinal nerve identification was registered during operation...
October 2012: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/22270427/genitofemoral-and-perineal-neuralgia-after-transobturator-midurethral-sling
#10
Brent A Parnell, Elisabeth A Johnson, Denniz A Zolnoun
BACKGROUND: Midurethral slings successfully treat stress urinary incontinence through a minimally invasive vaginal approach. Postoperative pain related to sling placement can occur and poses both diagnostic and treatment dilemmas. CASE: Four years after transobturator midurethral sling placement, the patient presented with complaints of left labial pain and dyspareunia since surgery. Using sensory mapping and a nerve stimulator, the problem was identified in the distribution of the genitofemoral nerve...
February 2012: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/22044970/objective-hypoesthesia-and-pain-after-transabdominal-preperitoneal-hernioplasty-a-prospective-randomized-study-comparing-tissue-adhesive-versus-spiral-tacks
#11
RANDOMIZED CONTROLLED TRIAL
Lukas Brügger, Martina Bloesch, Ramin Ipaktchi, Anita Kurmann, Daniel Candinas, Guido Beldi
BACKGROUND: Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair (TAPP) with titanium spiral tacks (STs) compared with tissue adhesive (TA) for mesh fixation. METHODS: Mesh fixation in 80 TAPP procedures was randomized to fixation with ST (n = 40) or TA (n = 40)...
April 2012: Surgical Endoscopy
https://www.readbyqxmd.com/read/21056374/-symptomatic-approach-to-chronic-neuropathic-somatic-pelvic-and-perineal-pain
#12
REVIEW
J-J Labat, R Robert, D Delavierre, L Sibert, J Rigaud
OBJECTIVES: To determine the characteristics of neuropathic pain and the somatic nerve lesions most frequently encountered in the context of chronic pelvic and perineal pain. MATERIAL AND METHODS: Review of the literature devoted to pelvic and perineal neuralgia. RESULTS: The diagnosis of pelvic and perineal pain related to a somatic nerve lesion is essentially clinical. The topography of the pain and its characteristics (burning, paraesthesia, etc...
November 2010: Progrès en Urologie
https://www.readbyqxmd.com/read/20546515/a-novel-ct-guided-transpsoas-approach-to-diagnostic-genitofemoral-nerve-block-and-ablation
#13
David Parris, Nancy Fischbein, Sean Mackey, Ian Carroll
BACKGROUND: Inguinal hernia repair is associated with a high incidence of chronic postsurgical pain. This pain may be caused by injury to the iliohypogastric, ilioinguinal, or genitofemoral nerves. It is often difficult to identify the specific source of the pain, in part, because these nerves are derived from overlapping nerve roots and closely colocalize in the area of surgery. It is therefore technically difficult to selectively block these nerves individually proximal to the site of surgical injury...
May 2010: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/19780646/long-term-outcome-following-ilioinguinal-neurectomy-for-chronic-pain
#14
Andrew C Zacest, Stephen T Magill, Valerie C Anderson, Kim J Burchiel
OBJECT: Ilioinguinal neuralgia is one cause of chronic groin pain following inguinal hernia repair, and it affects approximately 10% of patients. Selective ilioinguinal neurectomy is one proposed treatment option for carefully selected patients. The goal of this study was to determine the long-term outcome of patients who underwent selective ilioinguinal neurectomy for chronic post-hernia pain. METHODS: The authors retrospectively reviewed the clinical assessment, surgical treatment, and long-term outcome in 26 patients with ilioinguinal neuralgia who underwent selective ilioinguinal neurectomy performed by the senior author (K...
April 2010: Journal of Neurosurgery
https://www.readbyqxmd.com/read/19672938/endoscopic-retroperitoneal-neurectomy-for-chronic-pain-after-groin-surgery
#15
U Giger, M N Wente, M W Büchler, S Krähenbühl, J Lerut, L Krähenbühl
BACKGROUND: Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored. METHODS: Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow-up data were obtained 1 and 12 months after surgery...
September 2009: British Journal of Surgery
https://www.readbyqxmd.com/read/19230175/iatrogenic-ureteral-injury-due-to-lumbar-sympathetic-block
#16
Ayhan Dirim, Sükrü Kumsar
Lumbar sympathetic block (LSB) is used in the management of sympathetically maintained pain states. Complications of LSB may include infection, injury of spinal cord or somatic nerve, kidney trauma, hypotension, paraplegia and genitofemoral neuralgia. We present a case of a 53-year-old woman who had undergone LSB for the relief of reflex sympathetic dystrophy and subsequently a disrupted right proximal ureter. She was treated with ureteroureterostomy and an indwelling ureteral stent.
2008: Scandinavian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/18830573/-neuralgia-of-the-genitofemoral-nerve-after-hernioplasty-therapy-by-peripheral-nerve-stimulation
#17
J Walter, R Reichart, C Vonderlind, S A Kuhn, R Kalff
The peripheral nerve stimulation (PNS) is an established therapy in the management of neuropathic pain. Here, we describe a case of successful epifascial stimulation in the proximity of the genitofemoral nerve, which was injured during an endoscopic hernioplasty. During the following months the patient developed an intense neuropathy of this nerve, which we now treated by permanent PNS with an 8-polar electrode. During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now...
August 2009: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/18609289/iatrogenic-ureteral-injury-due-to-lumbar-sympathetic-block
#18
Ayhan Dirim, Sükrü Kumsar
Lumbar sympathetic block (LSB) is used in the management of sympathetically maintained pain states. Complications of LSB include infection, injury of spinal cord or somatic nerve, kidney trauma, hypotension, paraplegia and genitofemoral neuralgia. This report presents the case of a 53-year-old woman who had undergone LSB for relief of reflex sympathetic dystrophy and subsequently disrupted right proximal ureter. She was treated with ureteroureterostomy and indwelling ureteral stent.
2008: Scandinavian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/18354713/ultrasound-guided-interventional-procedures-for-patients-with-chronic-pelvic-pain-a-description-of-techniques-and-review-of-literature
#19
REVIEW
Philip W H Peng, Paul S Tumber
Chronic pelvic pain can present in various pain syndromes. In particular, interventional procedure plays an important diagnostic and therapeutic role in 3 types of pelvic pain syndromes: pudendal neuralgia, piriformis syndrome, and "border nerve" syndrome (ilioinguinal, iliohypogastric, and genitofemoral nerve neuropathy). The objective of this review is to discuss the ultrasound-guided approach of the interventional procedures commonly used for these 3 specific chronic pelvic pain syndromes. Piriformis syndrome is an uncommon cause of buttock and leg pain...
March 2008: Pain Physician
https://www.readbyqxmd.com/read/17825373/the-outcome-of-percutaneous-computed-tomography-guided-chemical-lumbar-sympathectomy-for-patients-with-causalgia-after-lumbar-discectomy
#20
Kung-Shing Lee, Yu-Feng Su, Ann-Shung Lieu, Chin-Lin Chuang, Shiuh-Lin Hwang, Shen-Long Howng, Chih-Lung Lin
BACKGROUND: Coldness, numbness, or causalgia usually affects the lower limbs in patients after back surgeries. The treatment of causalgia is still the source of continuing debate. We treated patients presenting with causalgia secondary to LD with CT-guided CLS and determined the therapeutic outcome at long-term follow-up. METHODS: From January 2002 to December 2002, a total of 15 patients (16 limbs) with causalgia after LD underwent the percutaneous CT-guided CLS...
March 2008: Surgical Neurology
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