Title
Treatment of Ilioinguinal Entrapment Syndrome - an Often Overlooked Cause of Chronic Pelvic Pain
Treatment of Ilioinguinal Entrapment Syndrome - a Randomised Controlled Trial
Phase
N/ALead Sponsor
University of GothenburgStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Chronic Pelvic PainIntervention/Treatment
amitriptyline gabapentin ...Study Participants
19Neuralgic pain caused by entrapment of peripheral nerves is an often overlooked cause of chronic pelvic pain. The objective of the present study was to assess pain and quality of life in women with pain caused by entrapment of the ilioinguinal nerve, iatrogenic after surgery but also found without previous surgery. In a controlled prospective cross-over study 19 women were randomized either to medical treatment or to resection of the nerve. Statistically significant improvements were found after surgical resection.
For amitryptiline starting dose 20-30 mg at night, increasing until clinical effect. For gabapentin was the initial dose 300 mg tid with rapid increases up to 800 mg tid.
In general anaesthesia the nerve was identified and resected as central as possible
Resection of the ilioinguinal nerve
Inclusion Criteria: Pelvic pain in which a careful investigation has shown signs of ilioinguinal nerve entrapment Exclusion Criteria: Drug abuse