Abstract
Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis. Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (n = 36) or conservative surgery and presacral neurectomy(n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale. Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two. Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.
| Original language | English |
|---|---|
| Pages (from-to) | 100-103 |
| Number of pages | 4 |
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 167 |
| Issue number | 1 |
| Publication status | Published - 1992 |
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Keywords
- endometriosis
- pelvic pain
- presacral neurectomy
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynaecology
Cite this
Presacral neurectomy for the treatment of pelvic pain associated with endometriosis : A controlled study. / Candiani, G. B.; Fedele, L.; Vercellini, P.; Bianchi, S.; Di Nola, G.
In: American Journal of Obstetrics and Gynecology, Vol. 167, No. 1, 1992, p. 100-103.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Presacral neurectomy for the treatment of pelvic pain associated with endometriosis
T2 - A controlled study
AU - Candiani, G. B.
AU - Fedele, L.
AU - Vercellini, P.
AU - Bianchi, S.
AU - Di Nola, G.
PY - 1992
Y1 - 1992
N2 - Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis. Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (n = 36) or conservative surgery and presacral neurectomy(n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale. Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two. Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.
AB - Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis. Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (n = 36) or conservative surgery and presacral neurectomy(n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale. Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two. Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.
KW - endometriosis
KW - pelvic pain
KW - presacral neurectomy
UR - http://www.scopus.com/inward/record.url?scp=0026663753&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026663753&partnerID=8YFLogxK
M3 - Article
C2 - 1442906
AN - SCOPUS:0026663753
VL - 167
SP - 100
EP - 103
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 1
ER -