Treatment of Ilioinguinal Entrapment Syndrome - an Often Overlooked Cause of Chronic Pelvic Pain

Göteborg University

Status: Completed

Conditions: Chronic Pelvic Pain

Treatments: Drug: Amitryptiline, gabapentin; Procedure: Resection of the ilioinguinal nerve

Study type: Interventional

Funder types: Other

Identifiers

NCT01020162

429-05

Details and patient eligibility

About

Neuralgic 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.

Enrollment: 19 patients

Sex: Female

Ages: 15 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pelvic pain in which a careful investigation has shown signs of ilioinguinal nerve entrapment

Exclusion criteria

• Drug abuse

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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19 participants in 2 patient groups

Non-surgical

Active Comparator group

Description:

TENS, amitriptyline, gabapentin.

Treatment:

Drug: Amitryptiline, gabapentin

Surgical intervention

Active Comparator group

Description:

Resection of the ilioinguinal nerve

Treatment:

Procedure: Resection of the ilioinguinal nerve