Turkish Neurosurgery 2013 , Vol 23 , Num 6
Management of Medically Intractable Genitofemoral and Ilioingunal Neuralgia
Feridun ACAR1, Mevci OZDEMIR1, Fatih BAYRAKLI2, Bayram CIRAK1, Erdal COSKUN1, Kim BURCHIEL3
1Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Turkey
2Cumhuriyet University, Faculty of Medicine, Department of Neurosurgery, Sivas, Turkey
3Oregon Health and Science University, Department of Neurosurgery, Oregon, USA
DOI : 10.5137/1019-5149.JTN.7754-12.0 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. Patient histories, physical examinations and visual analogue scale scores before and after treatments were analyzed.

RESULTS: Fourteen (70%) of the patients were treated with nerve blocks and six (30%) of the patients whose pain did not improve with nerve block application underwent neurectomy which resulted in pain relief.

CONCLUSION: For patients with medically intractable genitofemoral and ilioinguinal neuralgias, nerve blocks and neurectomies can be applied safely for pain control. Keywords : Chronic pain, Neuralgia, Neurectomy, Neuropathic pain, Pain management

Corresponding author : Mevci Ozdemir, drmevci@hotmail.com