Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: a controlled study

G B Candiani, G Candiani, Candiani GB, L Fedele, Fedele L, Luigi Fedele, Vercellini P, Paolo Vercellini, P Vercellini, S Bianchi, Stefano Bianchi, G Di Nola, Di Nola G, Giuliana Di Nola
American journal of obstetrics and gynecology · 1992 · vol. 167(1) , pp. 100–103 · doi:10.1016/s0002-9378(11)91636-6 · PMID:1442906 · W2093130983
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This controlled study investigated the efficacy of presacral neurectomy for treating pelvic pain associated with endometriosis.

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Abstract

OBJECTIVE: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis. STUDY DESIGN: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (n = 36) or conservative surgery and presacral neurectomy (n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale. RESULTS: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two. CONCLUSION: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.

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Condition tags

dysmenorrheadyspareuniaendometriosis

MeSH descriptors

Endometriosis Pain Sacrum Adult Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Female Female Humans Humans Pain Pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (15)

Cited by (50)

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