Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

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“…Most authors whose papers we evaluated during the course of this work state that the initial therapeutic management of pubalgia should be physiotherapy for 6 to 8 weeks (Kachingwe & Grech, 2008;Jansen et al, 2008;McIntosh et al, 2000), but single physical therapy has not been proven to be effective.…”

“…Of the four groups, the third had a significant improvement in symptomatology after about 3 months, but only the first group had real long-term benefits from surgery, with the disappearance of symptoms after 6 months (Kachingwe & Grech, 2008). For patients who received conservative treatment and who did not show any improvement at the end of therapy, surgical treatment should be considered.…”

“…Often, the anatomical components are reinforced by a polypropylene meshthe Lichtenstein procedure (Kachingwe & Grech, 2008). Particular attention should be paid to the ilioinguinal nerve, as it can be later embedded in the fibrosis around the mesh.…”

A Literature Review on the Role of Totally Extraperitoneal Repairs for Groin Pain in Athletes

“…5,29 A general agreement surrounds the need for operative intervention when a macroscopic abnormality is noted in an athlete with groin pain. However, when there are equivocal clinical findings, most authors suggest a conservative approach initially, 12,28 which may help, but long-term outcomes are debatable. 30 When conservative measures fail, then diagnostic TEP, which often shows a pathology in 80% of patients, 25 should be utilized.…”

“…However there are variable results, and athletes often return for more definitive solutions such as surgical intervention. [12][13][14] Operative measures are reported by some as having good results, with 90% to 96% of patients returning to sport activity after open repair with or without mesh. 15,16 Evidence over the previous 2 decades has suggested that laparoscopic procedures have considerable advantages over open techniques in other settings, 17,18 and this has been extended to totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques.…”