[Presacral neurectomy and uterine nerve ablation in chronic pelvic pain. Laparoscopic management. A comparative study]

García León F, Fernando García León, Oviedo Ortega G, Gerardo Oviedo Ortega, Reyes Cuervo H, Humberto Reyes Cuervo, Eduardo Ibarrola Buenabad, Ibarrola Buenabad E, Von der Meden W, Werner Von der Meden
Ginecologia y obstetricia de Mexico · 2003 · vol. 71 , pp. 137–42 · PMID:12793022 · W2433537556
RCT OA: closed CC0 ⤵ 8 in-corpus citations
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This randomized study compared laparoscopic uterine nerve ablation and presacral neurectomy for chronic pelvic pain, finding presacral neurectomy offered better long-term pain resolution without complications.

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Abstract

Chronic pelvic pain is a difficult handling medical and surgical condition and of transcendent importance to women who suffer from it. This condition has been associated to different diseases as endometriosis, adenomiosis, adnexal mass, pelvic inflammatory disease, pelvic adhesive disease. The present study was carried out comparing two laparoscopic surgical methods in an randomized way; laparoscopic uterine nerve ablation and a presacral neurectomy, with 12 patients in each group and a follow up of 12 mont. Results demonstrate a similar resolution on both groups in the short term and a significant difference on pain's resolution within the presacral neurectomy group in the long term without post-surgery or trans-surgery complications. Concluding the presacral neurectomy is a safe and dependable method that allows a high success rate on chronic pelvic pain patients.

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Condition tags

chronic_pelvic_painendometriosis

MeSH descriptors

Denervation Hypogastric Plexus Laparoscopy Pelvic Pain Adult Adult Chronic Disease Chronic Disease Denervation Denervation Female Female Humans Humans Hypogastric Plexus Hypogastric Plexus Laparoscopy Laparoscopy Pain Measurement Pain Measurement

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