{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:26:16Z","timestamp":1791239176917,"version":"4.1.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,10,5]],"date-time":"2015-10-05T00:00:00Z","timestamp":1444003200000},"content-version":"vor","delay-in-days":277,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Orchialgia following inguinal hernia repair is rare complication and still challenging since there has been no established surgical treatment because of complexity of nerve innervation to the testicular area. Herein we report a case of postoperative orchialgia following Lichtenstein repair, which was successfully treated by mesh removal, orchiectomy and triple neurectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CASE PRESENTATION:<\/jats:title>\n                    <jats:p>A 65-year-old man was referred to our department because of chronic right orchialgia following Lichtenstein hernia repair. He walked with a limp and was unable to walk a long distance. Physical examination revealed the presence of meshoma in the groin area and hypoesthesia in the anterior skin of the right scrotum. His right testis was completely atrophic and located not in the scrotum but in the subcutaneous regions of right groin. He was diagnosed as both neuropathic and nociceptive orchialgia and underwent meshoma removal, triple-neurectomy, and orchiectomy to address these issues. Pathological examination revealed that meshoma was integrated with the structures of the spermatic cord, leading to foreign-body reaction and fibrosis around the genital branch of genitofemoral nerve. The resected right testis was completely-scarred without ischemic changes. Orchialgia disappeared immediately after operation and he was able to walk without a limp.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSIONS:<\/jats:title>\n                    <jats:p>It is important to distinguish between nociceptive and neuropathic orchialgia. Neuroanatomic understanding is essential to guide treatment options. Orchiectomy is an option but should be reserved for refractory cases with evidence of nociceptive pain accompanied by anatomical changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Triple neurectomy should be considered in patients with neuropathic orchialgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.09.044","type":"journal-article","created":{"date-parts":[[2015,10,18]],"date-time":"2015-10-18T20:34:21Z","timestamp":1445200461000},"page":"157-161","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Successful treatment for patients with chronic orchialgia following inguinal hernia repair by means of meshoma removal, orchiectomy and triple-neurectomy"],"prefix":"10.1097","volume":"16","author":[{"given":"Masato","family":"Narita","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koki","family":"Moriyoshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Hanada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Matsusue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Hata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsushi","family":"Otani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iwao","family":"Ikai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-40-20260114","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jamcollsurg.2003.09.025","article-title":"Testicular pain after inguinal hernia repair: an approach to resection of the genital branch of genitofemoral nerve","volume":"198","author":"Ducic","year":"2004","journal-title":"J. Am. Coll. Surg"},{"key":"R2-40-20260114","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.ijscr.2014.03.015","article-title":"A rare variant of inguinal hernia: cryptorchid testis at the age of 50 years. Etiopathogenicity, prognosis and management","volume":"5","author":"Kassir","year":"2014","journal-title":"Int. J. Surg. Case Rep"},{"key":"R3-40-20260114","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jamcollsurg.2011.06.424","article-title":"Surgical treatment of chronic groin and testicular pain after laparoscopic and open preperitoneal inguinal hernia repair","volume":"213","author":"Amid","year":"2011","journal-title":"J. Am. Coll. Surg"},{"key":"R4-40-20260114","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1159\/000277587","article-title":"Clinical management of chronic testicular pain","volume":"84","author":"Kumar","year":"2010","journal-title":"Urol. Int"},{"key":"R5-40-20260114","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s10029-013-1150-3","article-title":"Role of orchiectomy in severe testicular pain after inguinal hernia surgery: audit of the Finnish Patient Insurance Centre","volume":"19","author":"Ronka","year":"2015","journal-title":"Hernia"},{"key":"R6-40-20260114","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1001\/archsurg.137.1.100","article-title":"A 1-stage surgical treatment for postherniorrhaphy neuropathic pain: triple neurectomy and proximal end implantation without mobilization of the cord","volume":"137","author":"Amid","year":"2002","journal-title":"Arch Surg"},{"key":"R7-40-20260114","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s10029-013-1172-x","article-title":"Persistent orchialgia after inguinal hernia repair: diagnosis, neuroanatomy, and surgical management","volume":"19","author":"Chen","year":"2015","journal-title":"Hernia"},{"key":"R8-40-20260114","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.jamcollsurg.2007.09.022","article-title":"Secondary internal inguinal ring and associated surgical planes: surgical anatomy, embryology, applications","volume":"206","author":"Mirilas","year":"2008","journal-title":"J. Am. Coll. Surg"},{"key":"R9-40-20260114","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.jamcollsurg.2007.04.001","article-title":"New understanding of the causes and surgical treatment of postherniorrhaphy inguinodynia and orchalgia","volume":"205","author":"Amid","year":"2007","journal-title":"J. Am. Coll. Surg"},{"key":"R10-40-20260114","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1007\/BF01658875","article-title":"Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia","volume":"13","author":"Starling","year":"1989","journal-title":"World J. Surg"},{"key":"R11-40-20260114","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.amjsurg.2004.11.015","article-title":"Inguinal neurectomy for inguinal nerve entrapment: an experience with 100 patients","volume":"189","author":"Madura","year":"2005","journal-title":"Am. J. Surg"},{"key":"R12-40-20260114","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1001\/jamasurg.2013.3189","article-title":"Operative management of refractory neuropathic inguinodynia by a laparoscopic retroperitoneal approach","volume":"148","author":"Chen","year":"2013","journal-title":"JAMA Surg"},{"key":"R13-40-20260114","first-page":"2279","article-title":"Sensory reinnervation of free flaps in reconstruction of the breast and the upper and lower extremities","volume":"7","author":"Sinis","year":"2012","journal-title":"Neural Regener. Res"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215004368?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215004368?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201516000-00040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:22:06Z","timestamp":1768396926000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201516000-00040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2015.09.044","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}