Presacral neurectomy

Presacral neurectomy is one of the treatments for chronic pelvic pain and dysmenorrhea. Lapraroscopic presacral neurectomy is an initial surgical intervention for chronic pelvic pain when medical therapy fails.[1]

Presacral neurectomy
The presacral plexus is excised during presacral neurectomy
Specialtygynecological surgeons

Mechanism

The sensory pathways from the pelvic viscera pass through the superior hypogastric plexus and inferior hypogastric plexus to the spinal columns. The excision of presacral nerve trunk results in the obstruction of the pain pathway from the hypogastric plexi to the spinal cord. Presacral neurectomy denervates the uterus and causes loss of some bladder sensation.[2]

Efficacy

Presacral neurectomy is offered to patients for whom medical therapy for chronic pain relief has failed. The efficacy of the procedure is around 75-80%. Less than 1% of all patients suffer from major complications following the surgery.[3]

References
  1. Chen, F. P. (January 2000). "Laparoscopic presacral neurectomy for chronic pelvic pain". Chang Gung Medical Journal. 23 (1): 1–7. ISSN 2072-0939. PMID 10746403.
  2. "Complications of laparoscopic presacral neurectomy". endopaedia.info. Retrieved 20 November 2017.
  3. Chen, FP (January 2000). "Laparoscopic presacral neurectomy for chronic pelvic pain". Chang Gung Medical Journal. 23 (1): 1–7. PMID 10746403.
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