Chronic Orchialgia: Workup and Management
Fig. 26.1. Two-hit theory on cause of chronic groin and scrotal content pain (From Brahmbhatt et al. [3], with kind permission Springer Science + Business Media). CGSCP may affect over 100,000 men…
PAIN MEDICINE
Groin Pain Etiology: Hip-Referred Groin Pain
Extension 20° Flexion >120° Adduction 20° Abduction 40° Internal rotation hip in extension 30° Internal rotation hip in flexion at 90° 20° External rotation hip in extension 50° External rotation…
Radiologic Evaluation for Postoperative Groin Pain
Fig. 19.1. Axial MR T1-weighted, T2-weighted, and fat-saturated T2-weighted images of bilateral flat mesh repairs. The normal mesh on the left (white arrow) appears smooth and linear, particularly on T1….
Open Triple Neurectomy
Fig. 24.1. Inguinal neuroanatomy (From Chen et al. [11] with kind permission Springer Science + Business Media). Fig. 24.2. Retroperitoneal neuroanatomy (From Wagner et al. [12], with kind permission ©McGraw-Hill Education). The…
Laparoscopic Triple Neurectomy
Fig. 25.1. Trocar placement and operative positioning. The lumbar plexus should be defined before any neurectomy is performed (Fig. 25.2) [18]. The subcostal nerve can first be identified at the…
Patient with Groin Pain After an Athletic Event
Fig. 34.1. Right adductor tear with secondary cleft sign (fluid in pubic symphysis). Fig. 34.2. Right rectus avulsion injury with secondary cleft (sagittal view). Fig. 34.3. Right rectus avulsion with…
Thoracolumbar Syndrome
Fig. 43.1. T12–L1 thoracolumbar nerve root compression with referred pain. Physical Examination Physical exam begins with examination of the spine with the patient in a prone position. Lateral pressure on…
Sports Hernia with Adductor Tendonitis
Fig. 36.1. (a) T2-weighted axial oblique image of the pelvis demonstrating a cleft sign (arrow) just inferior to the pubic symphysis (PS); (b) T2-weighted sagittal image of the pelvis demonstrating…
Value-Based Clinical Quality Improvement for Chronic Groin Pain After Inguinal Hernia Repair
Traditional clinical research Value-based clinical quality improvement Intent Testing of hypotheses Improving value Traditional clinical research Clinical quality improvement Pro Con Comparison Pre-market FDA requirement Costly and lengthy…
Chronic Pelvic Pain in Women
Gynecologic Endometriosis Pelvic inflammatory disease, chronic endometritis, chronic salpingitis Pelvic congestion syndrome Ovarian remnant syndrome Residual ovary syndrome Vulvodynia Vulvar vestibulitis Vaginismus Urologic Interstitial cystitis/painful bladder syndrome Chronic urethritis Gastrointestinal…
