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Related Experiment Video

Updated: Jul 6, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:53

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

Pelvic denervation procedures: a current reappraisal.

Ted T M Lee1, Linda C Yang

  • 1Division of Gynecologic Specialties, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh, Pittsburgh, PA, USA. tlee@mail.magee.edu

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|April 9, 2008
PubMed
Summary

Presacral neurectomy and uterine nerve ablation are minimally invasive procedures for pelvic pain. Proper patient selection is crucial, as presacral neurectomy benefits both primary dysmenorrhea and endometriosis, while uterine nerve ablation is for primary dysmenorrhea only.

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Pain Management

Background:

  • Minimally invasive techniques have revived pelvic denervation procedures for dysmenorrhea and pelvic pain.
  • Women with persistent, debilitating symptoms unresponsive to medical therapy may benefit from these surgical options.

Purpose of the Study:

  • To differentiate the indications for presacral neurectomy and uterine nerve ablation.
  • To guide appropriate patient selection for optimizing pain relief in women with pelvic pain.

Main Methods:

  • Review of current literature on presacral neurectomy and uterine nerve ablation.
  • Analysis of evidence from randomized trials and clinical outcomes.

Main Results:

  • Presacral neurectomy is effective for both primary dysmenorrhea and endometriosis-related pelvic pain.

Related Experiment Videos

Last Updated: Jul 6, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:53

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

  • Uterine nerve ablation is indicated solely for primary dysmenorrhea, supported by randomized trial data.

    • Conclusions:

    • Appropriate patient selection is essential for successful outcomes with pelvic denervation procedures.
    • Presacral neurectomy offers broader applicability for pelvic pain conditions compared to uterine nerve ablation.