Effectiveness of Presacral Neurectomy in Women With Severe Dysmenorrhea Caused by Endometriosis Who Were Treated With Laparoscopic Conservative Surgery: A 1-Year Prospective, Randomized, Double-Blind, Controlled Trial

This prospective, randomized, double-blind, controlled trial evaluated the efficacy of presacral neurectomy as an adjunct to laparoscopic conservative surgery for managing severe dysmenorrhea in women with endometriosis. The study compared outcomes between patients receiving the additional nerve ablation procedure and those undergoing standard surgical treatment alone over a one-year follow-up period. Results indicated that presacral neurectomy significantly reduced pain scores and improved quality of life metrics compared to the control group, demonstrating its potential benefit for pain relief in this specific patient population. This paper is centrally about endometriosis — specifically the surgical management of severe dysmenorrhea associated with the condition using presacral neurectomy.

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