Pelvic denervation procedures: A current reappraisal

Ted T.M. Lee*, Linda C. Yang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)304-308
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume101
Issue number3
DOIs
StatePublished - Jun 2008
Externally publishedYes

Keywords

  • Dysmenorrhea
  • Endometriosis
  • Laparoscopy
  • Pelvic pain
  • Presacral neurectomy
  • Uterine nerve ablation

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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