Nerve-sparing in Gynecologic Surgery: A Perspective
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This perspective reviews evidence indicating that nerve-sparing surgery in gynecology, including for endometriosis, reduces postoperative bladder, rectal, and vaginal dysfunction compared to conventional techniques.
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Abstract
OBJECTIVE: To provide a perspective on nerve-sparing (NS) surgery in gynecology.
DATA SOURCES: Literature review, English language.
METHODS OF STUDY SELECTION: Systematic reviews and meta-analyses studies were selected for review for oncology; comparative studies were selected for endometriosis, and 1 comparative and 1 prospective study were chosen for sacrocolpopexy.
TABULATION, INTEGRATION, AND RESULTS: Two tables summarize the results of systematic reviews and meta-analyses in oncology. Oncology, endometriosis, and urogynecology sections. Primary benefit of NS technique is decreased bladder dysfunction, and, to a lesser degree, vaginal and rectal dysfunc.
CONCLUSION: NS is preferable to conventional surgery for benign and malignant conditions to reduce postoperative bladder, rectal, and vaginal dysfunction.
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- europepmc
- last seen: 2026-11-04T06:09:08.831786+00:00
- pubmed
- last seen: 2026-10-08T21:28:03.990958+00:00
- unpaywall
- last seen: 2026-11-05T06:08:55.941966+00:00
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Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine