Inguinal Region Nerves Injection
Inguinal Region Nerves Injection
The iliohypogastric nerve, ilioinguinal nerve, and genitofemoral nerve innervate the skin of the perineum and inguinal region.
During inguinal hernia surgery, appendix surgery, laparoscopy and gynecological procedures these nerves are susceptible to mechanical damage. In the consequence may appear neuropathic pain radiating to the scrotum and testicles for man and to the labia for woman.
Anatomy:
Iliohypogastric and ilioinguinal nerves arise from the Th12 L1 ventral rami. In the initial part they adhere to the quadratus lumborum muscle, and then run between the internal oblique and transverse abdominal muscles. In the further part the anteriorcutaneous branch of the iliohypogastric nerve pierces the external oblique muscle above the superficial inguinal ring innervating the suprapubic region. The ilioinguinal nerve runs in the inguinal canal innervating the groin area and the medial thigh.
The genitofemoral nerve runs on the psoas major muscle. Above the inguinal ligament a nerve is divided into the genital and femoral branches. The genital branch runs in the inguinal canal innervating the scrotum and labia area.
Indications for intervention:
- groin pain after a surgery,
- groin pain of unknown origin.
Interventions we perform:
- nerve hydrodissection,
- steroid nerve block,
- diagnostic block.
Dr. Marcin Goczewski performs all mentioned above interventions only under ultrasound guidance to ensure precise medicine injection and reduce the risk of complications.
