Robotic Obturator Nerve Decompression
Beyond groin pain — identifying the true source, deep in the pelvis.
What is it? The obturator nerve travels from the lumbosacral plexus along the pelvic sidewall, through the deep obturator space, and out the obturator canal to the inner thigh. It can be compressed by inflammatory adhesions, fibrosis, deep infiltrating endometriosis, or narrowing within the obturator canal — none of which is reliably seen on standard imaging.
Symptoms – Inner (medial) thigh pain or burning • groin pain radiating to the inner thigh – Pain with walking or bringing the leg inward – Adductor weakness or instability • deep pelvic or paravaginal discomfort
Why it’s missed — Often misdiagnosed as hip, groin strain, or other musculoskeletal problems. Orthopedic care, physical therapy, and injections don’t reach intrapelvic nerve pathology.
How ESSI treats it — Robotic intrapelvic access to the obturator nerve along its entire course: identification at its origin, direct access to the deep obturator space and canal, and precise decompression — with simultaneous evaluation of the pudendal, proximal sciatic, and posterior femoral cutaneous nerves and the pelvic sidewall.
You may be a candidate if you have: chronic groin or inner-thigh pain • pain worsened by walking or adduction • symptoms persisting despite conservative care • suspected endometriosis • neuropathic symptoms after pelvic surgery.