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Dr. Towfigh – Neurectomy
We don’t know as much about the human body as we would like to. Nerve damage is an especially ambiguous part of medicine as it can act on many other parts of the body without any direct scientific or anatomical relationship. I cannot explain your headache, but I also cannot say it isn’t related to the nerve damage. We doctors just don’t know enough about these things (yet).
As for the Shouldice technique: yes, the cremasteric muscle is cut as part of the original description of the repair. The genitofemoral nerve, however, is spared.