Surgical Endoscopy

, Volume 21, Issue 2, pp 189–193 | Cite as

Successful endoscopic treatment of chronic groin pain in athletes

  • R. N. van VeenEmail author
  • P. de Baat
  • M. P. Heijboer
  • G. Kazemier
  • B. J. Punt
  • R. S. Dwarkasing
  • H. J. Bonjer
  • C. H. J. van Eijck



Chronic groin pain, especially in professional sportsmen, is a difficult clinical problem.


From January 1999 to August 2005, 55 professional and semiprofessional sportsmen (53 males; mean age, 25 ± 4.5 years; range, 17–36 years) with undiagnosed chronic groin pain were followed prospectively. All the patients underwent an endoscopic total extraperitoneal (TEP) mesh placement.


Incipient hernia was diagnosed in the study athletes: 15 on the right side (27%), 12 on the left side (22%), and 9 bilaterally (16%). In 20 patients (36%), an inguinal hernia was found: 3 direct inguinal hernias (5%) and 17 indirect hernias (31%). All the athletes returned to their normal sports level within 3 months after the operation.


A TEP repair must be proposed to patients with prolonged groin pain unresponsive to conservative treatment. If no clear pathology is identified, reinforcement of the wall using a mesh offers good clinical results for athletes with idiopathic groin pain.


Sports hernia Athlete TEP repair Chronic groin pain Endoscopic 


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • R. N. van Veen
    • 1
    Email author
  • P. de Baat
    • 2
  • M. P. Heijboer
    • 2
  • G. Kazemier
    • 1
  • B. J. Punt
    • 1
  • R. S. Dwarkasing
    • 3
  • H. J. Bonjer
    • 4
  • C. H. J. van Eijck
    • 1
  1. 1.Department of SurgeryErasmus University Medical CentreRotterdamThe Netherlands
  2. 2.Department of OrthopaedicsErasmus University Medical CentreRotterdamThe Netherlands
  3. 3.Department of RadiologyErasmus University Medical CentreRotterdamThe Netherlands
  4. 4.Department of SurgeryDalhousie UniversityHalifaxCanada

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