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Re: Genitofemoral neuralgiaFrom: J.Glenn Bradley MD (anonymous@obgyn.net)Wed, 8 Apr 1998 19:24:37 -0500 (CDT)
At Wed, 8 Apr 1998, Wendy wrote: > >Hi, > >I posted yesterday ("pain and parasthesias"). I have been researching a >bit today and have found genitofemoral neuralgia to have symptoms very >similar to mine. Pain and shivering/tingling sensations in left labia, >groin, buttocks and thigh. All the research I have done indicates that >hernia repair, appendectomy and some abdominal surgeries may cause this. >I have not had any of those. Have you heard of any idiopathic cases of >this? It just started up over a period of a few days and I have had it >for four months. It is very annoying! > >Thanks, >Wendy I have had 2 patients in the past year present with similar symptoms, with parasthesias radiating along the pathway of the genitofemoral nerve (especially groin, thigh and labia). Both were treated with low dose Elavil (10mg. in AM, 20 mg. at night). Both responded significantly within a week. If persistant or unresponsive, and diagnosis confirmed by neurology consult, the nerve can be interrupted surgically by a laparoscopic technique which I saw demonstrated at a major laparoscopic meeting in September, in Seattle. BTW, both patients did not have a history of any predisposing condition, and both resolved after several months. Dr.B
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