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The cremasteric reflex may be absent with testicular torsion, upper and lower motor neuron disorders, as well as a spine injury of L1-L2. It can also occur if the ilioinguinal nerve has accidentally been cut during a hernia repair. [4] The cremasteric reflex can be helpful in recognizing testicular emergencies.
The ilioinguinal nerve is clinically important when considering an ilioinguinal or iliohypogastric nerve block. The indications for nerve block include anaesthesia for procedures involving the abdominal region such as inguinal herniorrhaphy or pain relief for procedures such as a caesarean section. Ropivacaine is an example of the anaesthetic ...
The anterior scrotal nerves are branches of the ilioinguinal nerve. The nerves innervates the scrotum in males. The equivalent nerves in the female are the anterior labial nerves .
in males: the spermatic cord [12] and its coverings, and the ilioinguinal nerve. in females: the round ligament of the uterus, and the ilioinguinal nerve. The classic description of the contents of the spermatic cords in the male are: 3 arteries: artery to vas deferens (or ductus deferens), testicular artery, cremasteric artery;
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
The genital branch of the genitofemoral nerve, also known as the external spermatic nerve in males, is a nerve in the abdomen that arises from the genitofemoral nerve.The genital branch supplies the cremaster muscle and anterior scrotal skin in males, and the skin of the mons pubis and labia majora in females.
Testicular torsion may result in irreversible damage to the testicle within hours. A collection of serous fluid in the spermatic cord is named 'funiculocele'. The contents of the abdominal cavity may protrude into the inguinal canal, producing an indirect inguinal hernia
The sensory fibers stimulate the motor fibers of the genital branch of the genitofemoral nerve (also at spinal level L1), which provides innervation to the cremaster muscles causing the contraction of the muscle and elevation of the testes. This causes the cremaster muscle on the same side to rapidly contract, raising the testicle. [6]