Laparoscopic uterosacral nerve block: A fertility preserving option in chronic pelvic pain

Benjamin P Jones, Srdjan Saso, Timothy Bracewell‐Milnes, Jen Barcroft, Jane Borley, Teodor Goroszeniuk, Kostas Lathouras, J. Yazbek, JENNIE SMITH
In: AIMS Medical Science · 2019 · vol. 6(4) , pp. 260–267 · doi:10.3934/medsci.2019.4.260 · W2975201539
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Laparoscopic uterosacral nerve block offers a novel approach for diagnosing and treating chronic pelvic pain, particularly when of suspected uterine origin.

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Abstract

Chronic pelvic pain (CPP) can cause extreme physical distress in women and has widespread socio-economic consequences. Nerve root blocks have become a safe and effective treatment modality in multiple specialties in both the diagnosis and treatment of pain. We describe a novel technique of a laparoscopic uterosacral nerve block (USNB) and demonstrate its effectiveness in the treatment of a complex case of CPP. USNB has potential diagnostic, prognostic and therapeutic implications. It should therefore be considered as part of the multi-disciplinary management of women with CPP of suspected uterine origin such as adenomyosis, degenerating fibroids or following myomectomy.

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Condition tags

adenomyosischronic_pelvic_pain

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