When is surgery indicated for genitofemoral nerve entrapment?

Updated: Oct 15, 2019
  • Author: Minoo Hadjari Hollis, MD; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

If conservative treatment of genitofemoral nerve entrapment fails, surgical excision of the nerve is the treatment of choice. A transabdominal approach to the nerve has been described as having satisfactory results. [53, 54] Complications of this procedure include hypoesthesia of the scrotum or labium majus and of the skin over the femoral triangle, as well as loss of the cremasteric reflex; this usually does not result in notable morbidity. According to Harms et al, an extraperitoneal approach should result in fewer operative complications. [55]


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