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Dr. Towfigh – Neurectomy
Hello Doctor,
Just an update. I was able to get in and see Dr. Chen at UCLA. His notes were as follows:
“GU: R testicle lower than L, absent cremasteric reflex on R, no-TTP, previous incision at R mid mons pubis with well-healed scar, with decreased sensation surrounding previous incision site.
I would recommend selective neurectomy given his mechanism and dermatomal distribution,. At that time, we can perform a vas neurolysis in the preperitoneal plane given this would have minimal morbidity and given that he has already had this done distally with incomplete efficacy.”
Dr. Chen let me know that he usually resects all 3 nerves, however in my case, this was not necessary since only the genitofemoral nerve is likely injured. He has scheduled me for a selective genitofemoral neurectomy in February.
I am glad that I finally have some light at the end of the tunnel.
