What surgery for genitofemoral nerve entrapment?

Stuck in the Middle Ages asked:


I had hernia surgery eight months ago and have had chronic testicular and thigh pain since then. I’ve completed all conservative treatment efforts. A recent nerve block appears to indicate that the problem (which causes both shooting thigh pain and testicular pain/sensitivity) lies in the genitofemoral nerve.

On the internet, there appear to be a few different approaches to dealing with problems with a specific nerve.

What type of surgery would you suggest? I live in the Washington DC area (not far from Baltimore either), so I’m pretty sure that every type of surgeon is within about 30 miles of me. For starters, there’s Georgetown and George Washington in DC and the Dellon Institute in Baltimore.

But I have no idea what the best approach is. (Cryoablation instead? Micronerve surgery? Cutting one nerve? Cutting all three nerves in the area? Something else?) Any information would be appreciated.

Thank you.

CORA