Pelvic denervation procedures: A current reappraisal

Ted T M Lee, Linda C Yang, Linda Yang
International Journal of Gynecology & Obstetrics · 2008 · vol. 101(3) , pp. 304–308 · doi:10.1016/j.ijgo.2008.02.010 · PMID:18395725 · W2013303067
article OA: closed CC0 ⤵ 7 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Presacral neurectomy and uterine nerve ablation are distinct pelvic denervation procedures that offer pain relief for selected women, with neurectomy applicable for primary dysmenorrhea and endometriosis-related pain, while ablation is best for primary dysmenorrhea only.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

The introduction of minimally invasive techniques over recent years has led to the resurgence of pelvic denervation procedures such as presacral neurectomy and uterine nerve ablation being performed for women with dysmenorrhea and pelvic pain. Women who have failed medical therapy with persistent and debilitating symptoms may certainly benefit from these procedures. However, presacral neurectomy and uterine nerve ablation are distinct procedures that require appropriate patient selection in order to optimize pain relief. Whereas presacral neurectomy may be effective for both primary dysmenorrhea and endometriosis-related pelvic pain, the role of uterine nerve ablation should be reserved for patients with primary dysmenorrhea only, as evidenced by several randomized trials.

My notes (saved in your browser only)

Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Denervation Dysmenorrhea Pelvic Pain Pelvis Uterus Denervation Dysmenorrhea Endometriosis Endometriosis Female Humans Laparoscopy Laparoscopy Minimally Invasive Surgical Procedures Pelvic Pain Pelvis Randomized Controlled Trials as Topic Sacrococcygeal Region Sacrococcygeal Region Uterus

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 (24)

Cited by (7)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:14:36.758325+00:00
License: CC0 · commercial use OK