Robotic Genitofemoral Nerve Decompression
Beyond groin pain — treating the source at its origin.
What is it? The genitofemoral nerve (L1–L2) travels along the psoas muscle before dividing into genital and femoral branches. It is vulnerable to fibrotic or inflammatory compression, scarring after hernia repair or pelvic surgery, entrapment along the psoas, and inflammation spreading from pelvic disease — deep in the retroperitoneum, beyond the reach of conventional approaches.
Symptoms – Groin pain or burning • pain radiating to the upper front thigh – Testicular pain (men) or labial pain (women) – Inguinal hypersensitivity or numbness • pain triggered by hip extension – Persistent pain after hernia or pelvic surgery
Why it’s missed — Frequently confused with ilioinguinal or iliohypogastric nerve problems; treatments aimed at the distal branches miss the origin.
How ESSI treats it — A robotic retroperitoneal and intrapelvic approach reaches the nerve at its origin and along its full course: identification along the psoas, precise decompression under high-definition visualization, preservation of surrounding vessels and nerves, and removal of any underlying inflammatory or endometriotic pathology.
You may be a candidate if you have: chronic groin or inguinal pain • pain radiating to the upper thigh or genital region • persistent symptoms after hernia or pelvic surgery • inconclusive imaging • failed conservative care.