Laparoscopic treatment of genitofemoral neuralgia

Perry, C. Paul

doi:10.1016/s1074-3804(05)80596-1

Cited by 7 publications

(13 citation statements)

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“…Perry reported three cases of genitofemoral neuralgia treated by laparoscopic neurectomy. 6 He used a transperitoneal approach but did not describe specific details of the procedure. Both iliohypogastric and ilioinguinal neurectomy could be performed using a retroperitoneal approach similar to that used for laparoscopic lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ilioinguinal nerve injury

et al. 1998

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Objective To report a case of laparoscopic ilioinguinal nerve damage due to direct trauma from a secondary trocar placed in the right iliac fossa. Design Case report and literature review. Setting Tertiary referral hospital in an Australian city. Conclusion Patients with ilioinguinal neuralgia present significant diagnostic and management problems. This report highlights the need for gynaecologists to have a knowledge of the anatomical relations of the inguinal nerves in the lower abdominal wall, so that iatrogenic injury can be avoided.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic ilioinguinal nerve injury

et al. 1998

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“…Obtaining an accurate diagnosis of genitofemoral neuralgia is difficult, due to the fact that it presents in a very similar way to other inguinal neuralgias (Acar et al, 2013). There is significant sensory overlap between the ilioinguinal and GFNs, so it is important to consider ilioinguinal neuralgia as a differential diagnosis to effectively manage this neuropathy (Harms et al, 1984;Lichtenstein et al, 1988;Starling and Harms, 1989;Perry, 1997;Murovic et al, 2005;Acar et al, 2013). If clinicians misdiagnose genitofemoral neuralgia as ilioinguinal neuropathy, there is a risk of mistreatment and unnecessary surgical exploration of the inguinal region (Harms et al, 1984;Shanthanna, 2014).…”

Section: Diagnosismentioning

confidence: 99%

“…Ilioinguinal nerve blocks are typically done first as GFN blocks are more difficult procedures (Murovic et al, 2005). The use of selective nerve blocks as a diagnostic technique is widely supported in the literature (Lichtenstein et al, 1988;Starling et al, 1989;Perry, 1997;Ducic et al, 2004;Murovic et al, 2005;Ducic et al, 2008;Giger et al, 2009). While this method significantly helps in determining which nerve is the root cause of pain, it is not effective in all patients.…”

Section: Diagnosismentioning

confidence: 99%

“…Genitofemoral neuralgia is defined as chronic pain distributed along the cutaneous region in the groin and inner thigh innervated by the genitofemoral nerve (GFN). The symptoms of this neuropathy include paresthesias, burning pain, and hypoalgesia over the region (Magee, 1942;Lyon 1945;O'Brien, 1979;Harms et al, 1984;Starling and Harms, 1989;Perry, 1997;Murovic et al, 2005;Parris et al, 2010;Parnell et al, 2012). The pain and paresthesias are exacerbated by walking and hip extension.…”

Section: Introductionmentioning

confidence: 99%

“…The pain and paresthesias are exacerbated by walking and hip extension. Symptoms can be so severe that patients assume a bent over position when standing up in attempt to ameliorate their discomfort (Starling and Harms, 1989;Perry, 1997;Brara, 2006). In some patients, assuming a recumbent position and flexing the hip is noted to relieve Abbreviations used: GFN, genitofemoral neuralgia; RF, radiofrequency. pain (Murovic et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Genitofemoral neuralgia: A review

Cesmebasi

Yadav

Gielecki³

et al. 2014

Clinical Anatomy

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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. Diagnosis of genitofemoral neuralgia can be challenging, due to the overlap in sensory distribution the nerve shares with the ilioinguinal and iliohypogastric nerve. Differential nerve blocks are recommended in effort to differentiate the nerves when patients present with lower abdominal and groin pain. Once a diagnosis has been made, there exist several treatment options for genitofemoral neuralgia ranging from medical management, non-invasive injections, and surgery. Literature has also brought light to radiofrequency ablation and cryoablation performed under ultrasound guidance as emerging treatments. The aim of the current article is to review the anatomy, diagnostic techniques, and treatment options for patients with genitofemoral neuralgia.

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