Presacral neurectomy for chronic pelvic pain.
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Presacral neurectomy for chronic pelvic pain achieved 63-77% success rates for dysmenorrhea, dyspareunia, and other pelvic pains, with recurrence in 18% of lateral pelvic pain cases and 4% complications.
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Abstract
Over an eight-year period, 50 presacral neurectomies were performed at Madigan Army Medical Center for chronic pelvic pain failing response to medical management. Each hospital record was reviewed and 45 patients answered a questionnaire grading the severity of their pain from 0 to 10 for dysmenorrhea, dyspareunia, and other pelvic pain before and after surgery. The results showed success rates of 73% in relieving dysmenorrhea, 77% in relieving dyspareunia, and 63% in relieving other pelvic pains. The addition of a bilateral uterosacral ligament resection to the presacral neurectomy did not increase the success rate. There was an 18% lateral pelvic pain recurrence rate, and no recurrence of dysmenorrhea. Complications occurred in 4%.
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Cited by (37)
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- A modified method of laparoscopic presacral neurectomy for the treatment of midline dysmenorrhea 2006
- Presacral neurectomy for surgical management of pelvic pain associated with endometriosis: A descriptive review 2006
- Chronic Pelvic Pain in Women: Evaluation and Management in Primary Care 2005
- Long-term Effectiveness of Presacral Neurectomy for the Treatment of Severe Dysmenorrhea Due to Endometriosis 2004
- Surgical management of endometriosis 2004
- The role of laparoscopic surgery in the evaluation of chronic pelvic pain of unknown origin: pitfalls with a negative laparoscopic findings 2003
- Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: results of a randomized, controlled trial 2003
- 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 2003
- The Role of Laparoscopy in the Chronic Pelvic Pain Patient 2003
- Laparoscopic presacral neurectomy ‐ retrospective series 2001
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- Chronic pelvic pain: clinical dilemma or clinician's nightmare 2000
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- Surgical treatment for chronic pelvic pain. 1999
- Surgical Management of Pelvic Pain 1998
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- The role of laparoscopy in the management of pelvic pain in women of reproductive age 1997
- The Efficacy and Complications of Laparoscopic Presacral Neurectomy in Pelvic Pain 1997
- Laparoscopic treatment of deep endometriosis located on the uterosacral ligaments 1996
- Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study 1996
- The role of laparoscopy in the evaluation of chronic pelvic pain: Pitfalls with a negative laparoscopy 1996
- 12 Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea 1995
- Chronic pelvic pain 1995
- Adjunctive Procedures in Treatment of Endometriosis: LUNA, Presacral Neurectomy, and Uterine Suspension 1995
- Endoscopic surgery in gynecologic practice 1995
- Pain recurrence: A quality of life issue in endometriosis 1995
- Laparoscopic treatment of chronic pelvic pain in 100 adult women 1995
- Gynecology 1995
- The Role of Uterosacral Ligament Resection in Conservative Operations for Recurrent Endometriosis 1994
- Endometriosis in the adolescent and teenage female 1993
- Dysmenorrhea and Chronic Pelvic Pain 1993
- SURGICAL MANAGEMENT OF CHRONIC PELVIC PAIN 1993
- Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study 1992
- Presacral Neurectomy ‐ A Reappraisal 1991
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