Presacral neurectomy for chronic pelvic pain.
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%.
D000293:Adolescent; D000328:Adult; D004412:Dysmenorrhea / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D008022:Ligaments / Q000601:surgery; D008160:Lumbosacral Plexus / Q000601:surgery*; D010146:Pain / Q000601:surgery*; D010388:Pelvis; D011247:Pregnancy; D012008:Recurrence; D012447:Sacrum; D012735:Sexual Dysfunction, Physiological / Q000601:surgery