Pelvic denervation procedures: a current reappraisal

Lee TT, Ted T M Lee, Linda C Yang, Linda Yang, Yang LC
International Journal of Gynecology & Obstetrics · 2008 · vol. 101(3) , pp. 304–308 · doi:10.1016/j.ijgo.2008.02.010 · PMID:18395725 · W2013303067
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⚙ AI-generated summary by gemini-2.5-flash-lite, 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.

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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.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Denervation Dysmenorrhea Pelvic Pain Pelvis Uterus Denervation Denervation Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Laparoscopy Minimally Invasive Surgical Procedures

Citation neighborhood (2-hop)

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References (24)

Cited by (7)

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