Presacral neurectomy

Presacral Neurectomy is a surgical procedure that involves the removal of the presacral plexus, a network of nerves located in the pelvis. This procedure is typically performed to alleviate chronic pelvic pain, particularly in women suffering from conditions such as endometriosis or dysmenorrhea.

Indications

Presacral neurectomy is indicated for patients with severe, chronic pelvic pain that is unresponsive to other treatments. This includes conditions such as endometriosis, dysmenorrhea, and adenomyosis. The procedure is typically considered a last resort, used only when other treatments have failed.

Procedure

During a presacral neurectomy, the patient is placed under general anesthesia. The surgeon then makes an incision in the abdomen to access the presacral plexus. The nerves are carefully removed, with the aim of reducing or eliminating the patient's pelvic pain.

Risks and Complications

As with any surgical procedure, presacral neurectomy carries risks. These include infection, bleeding, and damage to surrounding organs. There is also the risk of complications related to anesthesia. In addition, some patients may experience a decrease in sexual function following the procedure.

Postoperative Care

Following surgery, patients are typically monitored in the hospital for several days. Pain management is a key aspect of postoperative care. Physical therapy may also be recommended to help patients regain strength and mobility.

See Also

• Pelvic Pain
• Endometriosis
• Dysmenorrhea
• Adenomyosis

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