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Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients
1Department of Obstetrics and Gynecology, St. Elisabeth Hospital, Cologne, Germany. MarcPossover@aol.com <MarcPossover@aol.com>
Objective:
To report that isolated endometriosis of the sciatic nerve without further manifestation of endometriosis does exist.
Design:
We describe our technique of laparoscopic neurolysis of the sciatic nerve and the sacral plexus.
Setting:
Department of Gynecology and Obstetrics, St. Elisabeth Hospital, affiliated with the University of Cologne, Cologne, Germany.
Patient(S):
Three female patients with isolated endometriotic infiltration of the endopelvic portion of the sciatic nerve.
Intervention(S):
Elective laparoscopic neurolysis of the sciatic nerve with removal of endometriosis.
Main Outcome Measure(S):
Disparition of pain in the patients and histologic information of the endometriosis.
Result(S):
Isolated endometriosis of the sciatic nerve and/or the sacral plexus does exist without any further endometriosis genitalis externa manifestations.
Conclusion(S):
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.
