Ultrasound-guided percutaneous electro-coagulation of ilioin
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Chronic groin pain or inguinodynia is common following surgery of an inguinal hernia, the incidence of which can be as high as 43.3%.The diagnosis is based on history and diagnostic nerve blocks.The treatment options vary from oral analgesics, nerve blocks or neurolysis to surgical exploration and meshectomy (with or without neurectomy) or triple neurectomy only.A 60-year-old male patient was referred from general surgery department for assessment and management of right chronic groin pain. This patient had undergone right inguinal open meshplasty with preservation of ilioinguinal (II), iliohypogastric (IH) and genital nerves 6 months back for reducible right inguinal hernia of 10 months duration. The patient gave no history of right chronic groin pain or any other chronic pain before surgery. He developed chronic groin pain around the incision site, at the root of the penis, upper medial part of right thigh and part of right scrotum for past 2½ months for which he was taking analgesics without satisfactory relief.

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