Laparoscopic nerve-sparing surgery of deep infiltrating endometriosis: description of the technique and patients’ outcome

A Kavallaris, Andreas Kavallaris, C Banz, N Chalvatzas, A Hornemann, Amadeus Hornemann, Doerte W. Luedders, D Luedders, K Diedrich, M Bohlmann, Michael K. Bohlmann
Archives of gynecology and obstetrics · 2010 · vol. 284(1) , pp. 131–135 · doi:10.1007/s00404-010-1624-9 · PMID:20680309 · W2085726244
article OA: closed CC0 ⤵ 40 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study describes a laparoscopic nerve-sparing surgical technique for deep infiltrating endometriosis and reports improved pain and voiding outcomes compared to non-nerve-sparing procedures.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a case series of 16 patients undergoing laparoscopic nerve-sparing surgery for deep infiltrating endometriosis involving the rectovaginal septum and/or uterosacral ligaments, describing the procedure for identifying the inferior hypogastric nerve and plexus (single- or double-sided) and comparing outcomes with patients treated using a non-nerve-sparing technique. Postoperatively, dysmenorrhea, pelvic pain, and dyspareunia disappeared in all patients, and voiding function resumed quickly with residual urine volumes <50 ml on two ultrasound measurements. The authors state that identification of the inferior hypogastric nerve and plexus was feasible, and they report no cases of long-term or lifelong bladder self-catheterization, contrasting with the non-nerve-sparing approach, though the study’s size and design as a case series limit generalizability. This paper is centrally about endometriosis — it describes and evaluates laparoscopic nerve-sparing surgery targeting deep infiltrating endometriosis to reduce urinary side effects.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Laparoscopy Postoperative Complications Trauma, Nervous System Adult Endometriosis Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Hypogastric Plexus Hypogastric Plexus Laparoscopy Laparoscopy Postoperative Complications Trauma, Nervous System Trauma, Nervous System Urinary Retention Urinary Retention

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