Long-term Effectiveness of Presacral Neurectomy for the Treatment of Severe Dysmenorrhea Due to Endometriosis

Fulvio Zullo, Stefano Palomba, Errico Zupi, Tiziana Russo, Michele Morelli, Teresa Sena, Massimiliano Pellicano, Pasquale Mastrantonio

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Study Objective. To assess the long-term effectiveness of presacral neurectomy (PSN) in women with severe dysmenorrhea due to endometriosis treated with conservative laparoscopic surgical intervention. Design. Randomized, controlled trial (Canadian Task Force classification I). Setting. University-affiliated department of obstetrics and gynecology. Patients. One hundred forty-one sexually active women of reproductive age. Intervention. Conservative laparoscopic surgery without (group A) or with (group B) PSN. Measurements and Main Results. At entry and 24-months after surgical procedures, cure rates; frequency and severity of dysmenorrhea, dyspareunia, and chronic pelvic pain; and quality of life were evaluated. At follow-up visit, the cure rate was significantly (P

Original languageEnglish
Pages (from-to)23-28
Number of pages6
JournalAmerican Association of Gynecologic Laparoscopists
Issue number1
Publication statusPublished - Feb 2004


ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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