title: Successful treatment of deep dyspareunia and primary dysmenorrhea with laparoscopic uterosacral nerve ablation (LUNA) procedure.
abstract: Deep dyspareunia, often described as pain resulting from pelvic thrusting during sexual intercourse, is relatively common and has many causes. To date, feasible surgical interventions for deep dyspareunia are very rare. The two procedures which have been mentioned in the literature for the treatment of deep dyspareunia were laparoscopic uterosacral ligament ablation (LUNA) and uterine ventrosuspension. We report the case of a young female patient, aged 32, gravida 3, parity 2, presenting with deep dyspareunia and primary dysmenorrhea for 4 years. She had both subjective and objective improvements for dyspareunia and primary dysmenorrhea following LUNA operation. Further large-scaled randomized controlled trial is mandatory to verify the surgical effect of LUNA operation for patients with deep dyspareunia.
authors.affiliation: Division of General Gynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan, ROC. cmjuang@yahoo.com.tw
authors.forename: Chi-Mou
authors.initials: CM
authors.lastname: Juang
authors.forename: Ming-Shien
authors.initials: MS
authors.lastname: Yen
authors.forename: Huann-Cheng
authors.initials: HC
authors.lastname: Horng
authors.forename: Hung-Chuan
authors.initials: HC
authors.lastname: Yu
authors.forename: Chia-Ming
authors.initials: CM
authors.lastname: Chang
authors.forename: Jiun-Yih
authors.initials: JY
authors.lastname: Yeh
mesh_terms: D000328:Adult; D000344:Afferent Pathways / Q000601:surgery; D017115:Catheter Ablation / Q000379:methods*; D004412:Dysmenorrhea / Q000601:surgery*; D004414:Dyspareunia / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008022:Ligaments / Q000294:innervation / Q000601:surgery*; D010147:Pain Measurement; D016896:Treatment Outcome; D014599:Uterus / Q000294:innervation* / Q000601:surgery