MP84-19 THE ROLE OF ROBOTIC ASSISTED ABDOMINAL DENERVATION FOR THE TREATMENT OF CHRONIC GROIN PAIN

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Penis/Testis/Urethra: Benign Disease & Malignant Disease II1 Apr 2018MP84-19 THE ROLE OF ROBOTIC ASSISTED ABDOMINAL DENERVATION FOR THE TREATMENT OF CHRONIC GROIN PAIN Mohamed Etafy, JAMIN BRAHMBHATT, and Sijo PAREKATTIL Mohamed EtafyMohamed Etafy More articles by this author , JAMIN BRAHMBHATTJAMIN BRAHMBHATT More articles by this author , and Sijo PAREKATTILSijo PAREKATTIL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2787AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Microsurgical denervation of the spermatic cord (MDSC) is a treatment option for chronic groin pain that is unresponsive to conservative treatments. However there are limited options for patients who failed MDSC or patients who have refractory pain after an orchiectomy for pain. One option for these difficult cases is Targeted Robotic assisted abdominal Denervation (TRAAD) of the genitofemoral and inferior hypogastric nerves above the internal ring. METHODS Retrospective review of 53 patients who underwent RAAs from October 2010 to July 2016. Selection criteria were as follows: chronic groin pain (>3 months), failed standard pain management treatments (including MDSC), patients who have refractory pain after an orchiectomy and negative urologic workup. A robotic microsurgical platform was utilized (DaVinci Sïf¤ŤHD with magnification, Intuitive Surgical, Sunnyvale, CA). The primary outcome measure was pain relief. Pain was assessed preoperatively and postoperatively using two assessment tools: a) the subjective visual analog scale (VAS) and b) an objective standardized externally validated pain assessment tool (PIQ-6, QualityMetric Inc., Lincoln, RI). RESULTS Median age was 45 years. Median operative duration (robot console time) was 19 minutes. One patient developed pain at assistant port site and one patient had port site bleeding both were treated conservatively. 79 % (42) patients had significant pain reduction among them 27 patient had complete relief in pain. The median Follow up was 39 months. CONCLUSIONS Targeted robotic assisted abdominal denervation of genitofemoral and inferior hypogastric nerves is a safe and viable treatment option for patients with chronic groin pain refractory to other lines of treatment. Further evaluation and studies are warranted. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1132 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Mohamed Etafy More articles by this author JAMIN BRAHMBHATT More articles by this author Sijo PAREKATTIL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...