Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients.
OBJECTIVE
To report that isolated endometriosis of the sciatic nerve without further manifestation of endometriosis does exist.


METHODS
We describe our technique of laparoscopic neurolysis of the sciatic nerve and the sacral plexus.


METHODS
Department of Gynecology and Obstetrics, St. Elisabeth Hospital, affiliated with the University of Cologne, Cologne, Germany.


METHODS
Three female patients with isolated endometriotic infiltration of the endopelvic portion of the sciatic nerve.


METHODS
Elective laparoscopic neurolysis of the sciatic nerve with removal of endometriosis.


METHODS
Disparition of pain in the patients and histologic information of the endometriosis.


RESULTS
Isolated endometriosis of the sciatic nerve and/or the sacral plexus does exist without any further endometriosis genitalis externa manifestations.


CONCLUSIONS
In young patients with sciatica of an unknown genesis, an endometriosis of the sciatic nerve must be evoked, and a laparoscopic exploration of the sciatic nerve must be discussed.
Possover
Marc
M
Department of Obstetrics and Gynecology, St. Elisabeth Hospital, Cologne, Germany. MarcPossover@aol.com <MarcPossover@aol.com>
Chiantera
V
V
D000328:Adult; D004715:Endometriosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D020426:Sciatic Neuropathy / Q000473:pathology* / Q000601:surgery*