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News Feed › Discussions › Genital branch laparoscopic neurectomy

  • Genital branch laparoscopic neurectomy

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    Unknown Member     on December 21, 2019 at 10:08 pm

    [USER=”935″]drtowfigh[/USER] What’s your opinion on a laparoscopic genital branch neurectomy ? What are the side effects ? ..does the psoas muscle weaken ?

    My surgery report says the following.

    Laparoscopic identification and neurectomy of the left genital branch of the genitofemoral nerve in the preperitoneal space


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    drtowfigh     replied 6 years, 3 months ago     5 Members · 9 Replies
  • 9 Replies

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    drtowfigh

    Moderator
    January 5, 2020 at 11:23 pm

    Yes. It can.


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    Casimir

    Member
    January 5, 2020 at 11:19 pm
    quote DrBrown:

    [USER=”3027″]Julian[/USER]
    The genital nerve does not innervate the psoas muscle.
    A neurectomy will decrease pain in the spermatic cord and testicle.
    The genital nerve innervates the cremasteric muscle.
    Bill Brown MD

    [USER=”2580″]DrBrown[/USER] Will that cause the cremaster muscle to lose functionality?


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    drtowfigh

    Moderator
    January 5, 2020 at 5:00 pm

    No. But requires another neurectomy.


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    Casimir

    Member
    January 5, 2020 at 3:41 pm
    quote drtowfigh:

    Patients do well from lap neurectomy for the genitofemoral nerve.

    all neurectomy have about 5% risk of neuroma.

    [USER=”935″]drtowfigh[/USER] Is that unresolvable if a neuroma occurs?


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    drtowfigh

    Moderator
    January 5, 2020 at 5:15 am

    Patients do well from lap neurectomy for the genitofemoral nerve.

    all neurectomy have about 5% risk of neuroma.


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    rc009

    Member
    January 5, 2020 at 2:53 am

    I have the same issues with GF nerve. Are there any reports of long term success with GF neurectomy laporscpoc done??


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    drtowfigh

    Moderator
    December 30, 2019 at 5:04 am

    Depends on the indication.
    If there is a neuroma or neuralgia (nerve pain) from the GFN then neurectomy will cure that.
    The nerve runs over the muscle but is otherwise unrelated to the muscle.


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    DrBrown

    Member
    December 24, 2019 at 12:52 am

    [USER=”3027″]Julian[/USER]
    The genital nerve does not innervate the psoas muscle.
    A neurectomy will decrease pain in the spermatic cord and testicle.
    The genital nerve innervates the cremasteric muscle.
    Bill Brown MD


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    Unknown Member

    Deleted User
    December 23, 2019 at 3:34 am

    [USER=”2580″]DrBrown[/USER] What’s your opinion?

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