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Diagnosis and Management of Genitofemoral Neuralgia

Diagnosis and Management of Genitofemoral Neuralgia Abstract • Genitofemoral neuralgia is a syndrome characterized by chronic pain and paresthesia in the region of genitofemoral nerve distribution. Genitofemoral nerve entrapment has been described after inguinal herniorrhaphy, appendectomy, and cesarean section. Failure to distinguish it from ilioinguinal nerve entrapment can result in unnecessary inguinal reexploration, or patients severely debilitated from chronic pain. We recommend that patients with persistent pain and paresthesia in the inguinal region following surgery should have a local ilioinguinal nerve block. If this is unsuccessful in affecting relief of symptoms, a paravertebral block of L-1 and L-2 should be considered. Using these two blocks, a rational decision can then be made to operate on either the ilioinguinal nerve or the genitofemoral nerve. We describe three cases of genitofemoral neuralgia treated by extraperitoneal excision of the genitofemoral nerve. (Arch Surg 1984;119:339-341) References 1. Magee RK: Genito-femoral causalgia . Can Med Assoc J 1942;46: 326-329. 2. Lyon EK: Genito-femoral causalgia . Can Med Assoc J 1945;53:213-216. 3. aha RK, Rao S, Pidgeon CN, et al: Genito-femoral neuralgia . Surg Neurol 1977;8:280-282. 4. O'Brien MD: Genito-femoral neuropathy . Br Med J 1979;1:1052.Crossref 5. Gray H, Goss CM (eds): Anatomy of the Human Body . Philadelphia, Lea & Febiger, 1974, p 986. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Diagnosis and Management of Genitofemoral Neuralgia

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1984.01390150071017
Publisher site
See Article on Publisher Site

Abstract

Abstract • Genitofemoral neuralgia is a syndrome characterized by chronic pain and paresthesia in the region of genitofemoral nerve distribution. Genitofemoral nerve entrapment has been described after inguinal herniorrhaphy, appendectomy, and cesarean section. Failure to distinguish it from ilioinguinal nerve entrapment can result in unnecessary inguinal reexploration, or patients severely debilitated from chronic pain. We recommend that patients with persistent pain and paresthesia in the inguinal region following surgery should have a local ilioinguinal nerve block. If this is unsuccessful in affecting relief of symptoms, a paravertebral block of L-1 and L-2 should be considered. Using these two blocks, a rational decision can then be made to operate on either the ilioinguinal nerve or the genitofemoral nerve. We describe three cases of genitofemoral neuralgia treated by extraperitoneal excision of the genitofemoral nerve. (Arch Surg 1984;119:339-341) References 1. Magee RK: Genito-femoral causalgia . Can Med Assoc J 1942;46: 326-329. 2. Lyon EK: Genito-femoral causalgia . Can Med Assoc J 1945;53:213-216. 3. aha RK, Rao S, Pidgeon CN, et al: Genito-femoral neuralgia . Surg Neurol 1977;8:280-282. 4. O'Brien MD: Genito-femoral neuropathy . Br Med J 1979;1:1052.Crossref 5. Gray H, Goss CM (eds): Anatomy of the Human Body . Philadelphia, Lea & Febiger, 1974, p 986.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1984

References