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

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Chronic Pelvic Pain

Age range

15 year–70 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Dept Obstetrics&Gynecology/East Hospital

Gothenburg, S-41685, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

Drug abuse

Treatment and study plan

Amitryptiline, gabapentin

Drug

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.

Other names: Amitryptiline - Saroten, Gabapentin - Neurontin

Resection of the ilioinguinal nerve

Procedure

In general anaesthesia the nerve was identified and resected as central as possible

Primary outcomes

Improvements in pain according to Visual Analogue Scales. Improvements in quality of life according to Psychological General Well-Being-scales.

Time frame: At least one year after intervention,in some cases more then five years.

Sponsors and collaborators

Lead sponsor

Göteborg University

Other

Registry information

Official study title

Treatment of Ilioinguinal Entrapment Syndrome - a Randomised Controlled Trial

Important dates

Study start: 1995
Primary completion: 2006
Study completion: 2007
First posted: Nov 25, 2009
Registry last updated: Nov 25, 2009

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed