Journal of Kerman University of Medical Sciences

Comparison of Ilioinguinal/Iliohypogastric Nerve Block and Ilioinguinal/Iliohypogastric Nerve Block Plus Genitofemoral Nerve Block in Patients with Chronic Pelvic/Groin Pain: A Retrospective Quasi-experimental Study

Document Type : Original Article

Authors

Payman Dadkhah 1
Mehrdad Taheri 2
Seyyed Masoud Hashemi 1
Cyrus Momenzadeh 2
Jafar Salehi 3
Keivan Bahrami 1

1 Imam Hussein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Anesthesiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

https://doi.org/10.34172/jkmu.3907
Abstract
Background: Chronic pelvic/groin pain (CP/GP) is a debilitating condition with various treatment options, including nerve blocks. This study aimed to compare the effectiveness of ilioinguinal/iliohypogastric (II/IH) nerve block and the combination of genitofemoral (GF) and II/IH nerve block in patients with CP/GP.
Methods: This retrospective quasi-experimental (longitudinal) study was conducted at Labbafinejad Hospital (Shahid Beheshti University of Medical Science, Tehran, Iran) and assessed the medical records of 54 patients with CP/GP. Patients alternately received interventions from an experienced pain specialist. Twenty-six patients received the II/IH plus GFN block, and 28 patients received the II/IH nerve block alone. Visual analog scale (VAS) scores (before and 1, 2, and 3 months after intervention) available in medical records were extracted for all patients.
Results: In the first (P=0.019), second (P=0.015), and third month (P=0.021) following the intervention, patients in the G+I group consistently reported significantly lower pain severity compared to patients in the I group. Patients with pain from surgical causes demonstrated significantly better treatment response than those with idiopathic causes in the second (P=0.014, 0.021) and third months (P=0.015, 0.026) post-intervention in the G+I group compared to the I group.
Conclusion: Both II/IH nerve block and II/IH nerve block plus GFN block are effective in treating CP/GP. However, patients who received II/IH nerve block plus GFN block demonstrated a better treatment response than those who received II/IH nerve block alone. Additionally, it is worth noting that patients with pain from surgical causes reported lower pain intensity compared to patients with idiopathic causes in both treatment groups.

Highlights

Keivan Bahrami (Google Scholar) (PubMed)

Keywords

Genitofemoral
Ilioinguinal
Iliohypogastric
Chronic pelvic pain
Nerve block
Subjects
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Journal of Kerman University of Medical Sciences
Volume 32
Pages 1-7

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