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Genital branch laparoscopic neurectomy
[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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9 Replies
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Yes. It can.
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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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No. But requires another neurectomy.
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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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Patients do well from lap neurectomy for the genitofemoral nerve.
all neurectomy have about 5% risk of neuroma.
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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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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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[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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[USER=”2580″]DrBrown[/USER] What’s your opinion?
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