title: Management of medically intractable genitofemoral and ilioingunal neuralgia.
abstract: OBJECTIVE
  To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia.
  
  
  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.
  
  
  CONCLUSIONS
  For patients with medically intractable genitofemoral and ilioinguinal neuralgias, nerve blocks and neurectomies can be applied safely for pain control.
authors: Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Turkey.
authors: Feridun
authors: F
authors: Acar
authors: Mevci
authors: M
authors: Ozdemir
authors: Fatih
authors: F
authors: Bayrakli
authors: Bayram
authors: B
authors: Cirak
authors: Erdal
authors: E
authors: Coskun
authors: Kim
authors: K
authors: Burchiel
mesh_terms: D000328:Adult; D000368:Aged; D000779:Anesthetics, Local / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D019090:Case Management; D005260:Female; D020428:Femoral Neuropathy / Q000473:pathology / Q000628:therapy; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D009437:Neuralgia / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D009460:Neurologic Examination; D019635:Neurosurgical Procedures; D010147:Pain Measurement; D010525:Peripheral Nerves / Q000473:pathology; D010523:Peripheral Nervous System Diseases / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D011239:Prednisolone / Q000627:therapeutic use; D011318:Prilocaine / Q000627:therapeutic use; D011446:Prospective Studies; D012018:Reflex; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D011318:Prilocaine; D011239:Prednisolone