The Role for Laparoscopic Presacral Neurectomy
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Laparoscopic presacral neurectomy effectively reduced pelvic pain in 91% of patients with endometriosis, dysmenorrhea, or pelvic inflammatory disease, with few complications.
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Abstract
This study was carried out to determine the efficacy of laparoscopic presacral neurectomy (LPSN) and to define its role in modern gynecology using a prospective consecutive cohort. One hundred three patients underwent LPSN, and 87 were included in this study. After LPSN, 91% of these 87 patients experienced some decrease in pelvic pain, and a majority of patients had 50% or greater reduction in pain score. There was a highly significant difference among the preoperative and postoperative pain levels (p less than 0.0001). Patients with pain of endometriosis (72), primary dysmenorrhea (5), and chronic pelvic inflammatory disease (10) responded with a decrease in pain score to this procedure. Complications included 1 patient with intraoperative bleeding, 2 with postoperative vaginal dryness, and 1 with constipation. We conclude that LPSN is as effective as that performed by laparotomy and should be offered to patients undergoing operative laparoscopy for central dysmenorrhea and pelvic pain. This procedure should be performed only by expert endoscopists experienced in the anatomy of this region.
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References (5)
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- Surgical treatment of primary dysmenorrhea with laparoscopic uterine nerve ablation. via openalex
- W2045150051 via openalex
- W2411265394 via openalex
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Cited by (14)
- Neuropelveology for Endometriosis Management: A Systematic Review and Multilevel Meta-Analysis 2024
- Chronic pelvic pain 2011
- Comparison of a new modified laparoscopic presacral neurectomy and conventional laparoscopic presacral neurectomy in the treatment of midline dysmenorrhea 2007
- Chronic Pelvic Pain 2007
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- A modified method of laparoscopic presacral neurectomy for the treatment of midline dysmenorrhea 2006
- Surgical management of endometriosis 2004
- Surgical management of endometriosis 2000
- Relationship of gynecologic surgery to constipation 1999
- Surgical Management of Pelvic Pain 1998
- Laparoscopic Uterine Nerve Ablation, Presacral Neurectomy, and Uterovaginal Ganglion Excision 1997
- Laparoscopic treatment of deep endometriosis located on the uterosacral ligaments 1996
- The role of laparoscopy in the evaluation of chronic pelvic pain: Pitfalls with a negative laparoscopy 1996
- Laparoscopic Presacral Neurectomy Utilizing Contact-tip Nd: YAG Laser. 1996
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- europepmc
- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
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- pubmed
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