Inguinal @entity547 as a Cause of XXXX : A Key Sign to Make the Diagnosis [215].

@entity1 @entity2371 @entity158 @entity547 @entity169 @entity1118
INTRODUCTION: @entity1118 is common with a prevalence of 15% among adult @entity1 in the United States. We sought to identify key presenting characteristics for @entity169 in @entity1 as a primary source of chronic @entity2371 . METHODS: We performed a retrospective cohort study from March 2009 to February 2014 of females with chronic @entity2371 referred by their gynecologist to a surgeon specializing in @entity547 . Standardized preoperative questionnaires and an examination targeting @entity169 were completed. @entity1 with a high heightened suspicion for groin @entity547 underwent surgical exploration and repair along with concomitant gynecologic procedures if indicated. RESULTS: Of the 38 @entity1 referred and evaluated, 19 (50%) were considered candidates for groin exploration. Sixteen of the 18 (88.9%) @entity1 who underwent surgical exploration were confirmed to have @entity169 , which were subsequently repaired. No single preoperative historical factor or subjective @entity158 complaint was predictive of a @entity547 . Point tenderness at the internal inguinal ring was the only significant finding among those with proven @entity547 (P=.009, odds ratio 25). Among those who underwent repair, preoperative @entity158 scores significantly decreased from 7.2 of 10 to 3.1 of 10 within 2 weeks of surgery (P<.001). CONCLUSION: @entity169 represent a known cause of chronic @entity2371 in @entity1 . Tenderness at the internal inguinal ring is strongly associated with the diagnosis of occult @entity169 in such @entity1 . With such a dramatic and rapid improvement in @entity158 that appears to be long-lasting, collaboration between gynecologists and @entity547 specialists may improve care for @entity1 with chronic @entity2371 .
