This term refers to a pain syndrome occurring after inguinal hernia repairs. By definition inguinodynia is groin pain lasting over 3 months subsequent to groin hernia surgery. 15% to 34% of patients undergoing groin hernia repairs using the open or incisional technique for repair will develop pain persisting over three months. Patients undergoing the laparoscopic technique will have inguinodynia only 1% of the time.
This pain can range from a mere discomfort to a severe unrelenting pain of debilitating nature. At times it will negatively impact one’s activities of daily living including personal issues, work, exercise, and sexual activities.
Many potential causes of inguinodynia have been implicated. These are problems directly related to the hernia surgery including technical breaches, reactions to the mesh, aggressive scarification, nerve damage, and the body’s idiosyncratic reaction to the surgical intervention. Other potential origins of inguinodynia are urological in nature such as testicle and prostate abnormalities. Gynecological sources of chronic groin pain include infections, uterine fibromas, endometriosis and pregnancy.
Furthermore, several gastrointestinal problems can be the origin of groin pain. These include diverticular disease, ulcerative colitis, Crohn's disease, inflammatory bowel disease, gastrointestinal infections, celiac disease, appendicitis and others not herein stated.
Treatment of inguinodynia depends upon the origin of the pain. Regimens may consist of oral anti-inflammatory agents, injections with local anesthetics and corticosteroids (cortisone like medication) and at times surgical re-intervention. Each case of inguinodynia presents its own set of circumstances requiring highly specialized expertise.
For more information on this subject refer to the Research & Development section of this website and the scientific publications on this topic by Jeffrey B. Mazin M.D, F.A.C.S.