Pelvic denervation procedures for dysmenorrhea

  title={Pelvic denervation procedures for dysmenorrhea},
  author={Christina Ramirez and Nicole M. Donnellan},
  journal={Current Opinion in Obstetrics and Gynecology},
Purpose of review Chronic pelvic pain and dysmenorrhea are common conditions affecting reproductive-age women. Surgical pelvic denervation procedures may be a treatment option for women with midline dysmenorrhea, in which medical management is declined by the patient, ineffective at managing symptoms, or medically contraindicated. This review describes the surgical techniques and complications associated with pelvic denervation procedures as well as the current evidence for these procedures in… 
6 Citations
Uterosacral Nerve Ablation and Presacral Neurectomy in the Treatment of Chronic Pelvic Pain in Women
The method, effect, and studies evaluating uterosacral nerve ablation and presacral neurectomy will be discussed in this chapter.
Primary Dysmenorrhea: Assessment and Treatment.
  • Inês Guimarães, A. Póvoa
  • Medicine
    Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
  • 2020
Primary dysmenorrhea is defined as menstrual pain in the absence of pelvic disease. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility that
Endometriose en pijn: een overzicht met argumentatie voor een individuele en multidisciplinaire aanpak
The data reinforce the need to frame endometriosis therapy in a much broader sense than just local surgical removal and (hormonal) suppression, and a multidisciplinary approach with a policy based on the needs and expectations of the patient can be an added value.
Comparison of Oral Mefenamic Acid with Transdermal Glyceryl Trinitrate in the Management of Primary Dysmenorrhea
The analgesic effects of oral mefenamic acid were better than transdermal glyceryl trinitrate as a tocolytic drug in the management of primary dysmenorrhea.
The role of peripheral nerve signaling in endometriosis
A better understanding of the mechanisms of neuronal contribution to endometriosis, as well as their interactions with accompanying stromal and immune cells, will unearth novel disease‐relevant pathways and targets, providing additional, more selective therapeutic horizons.


Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain: a randomized controlled trial.
Among women with chronic pelvic pain, LUNA did not result in improvements in pain, dysmenorrhea, dyspareunia, or quality of life compared with laparoscopy without pelvic denervation.
Long-term effectiveness of presacral neurectomy for the treatment of severe dysmenorrhea due to endometriosis.
Laparoscopic presacral neurectomy. Results of the first 25 cases.
Laroscopic uterosacral nerve ablation, or laparoscopic uterine nerveAblation, appears to offer hope in this regard and represents a return to a surgical approach for conservative management of severe, disabling dysmenorrhea and pelvic pain in women who have failed medical treatment.
The role of laparoscopy in chronic pelvic pain: promise and pitfalls.
  • F. Howard
  • Medicine
    Obstetrical & gynecological survey
  • 1993
Overall, the data showed that less than 50 per cent of women with CPP were helped by diagnostic and operative laparoscopy, stressing the need for both physicians and patients to recognize that laparoscopic treatment is neither the ultimate evaluation nor the panacea for CPP.
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, and success rates showed success rates of 73% in relieving dysmenorrhea, 77% in relief of dyspareunia, and 63% in relieveving other pelvic pains.
Management of chylous ascites following laparoscopic presacral neurectomy.
Repeated laparoscopy can be considered to identify the possibility of injury to lymphatic vessels, to relieve abdominal distention due to chyle accumulation, and to apply electrocauterization or compression with Gelform and closure of the peritoneum.
Comparison of laparoscopic presacral neurectomy and laparoscopic uterine nerve ablation for primary dysmenorrhea.
LPSN is a valid option for treating primary dysmenorrhea and the efficacy of LPSN was significantly better than that of LUNA at the 12-month visit.
Dysmenorrhea: Contemporary Perspectives
Treatments targeting central aberrations in pain processing, as used in chronic pain management, may prove beneficial as a more multidimensional approach to this common malady is accepted in this field.