PMID: 12861130Jul 16, 2003

Effectiveness of presacral neurectomy in women with severe dysmenorrhea caused by endometriosis who were treated with laparoscopic conservative surgery: a 1-year prospective randomized double-blind controlled trial

American Journal of Obstetrics and Gynecology
Fulvio ZulloPasquale Mastrantonio

Abstract

The purpose of this study was to assess the effectiveness of presacral neurectomy in women with severe dysmenorrhea caused by endometriosis that was treated with conservative surgical intervention. One hundred forty-one sexually active women of fertile age with chronic severe dysmenorrhea caused by endometriosis were treated with conservative laparoscopic surgery. Patients were assigned randomly to not receive (group A) or receive (group B) presacral neurectomy. At 6 and 12 months after the surgical procedures, the cure rate was evaluated in each patient. The frequency and severity of dysmenorrhea, dyspareunia, and chronic pelvic pain were also evaluated at the same time intervals. The cure rate was significantly higher in group B compared with group A at a follow-up examination at 6 months (87.3% vs 60.3%) and 12 months (85.7% vs 57.1%). At follow-up visits, the frequency and severity of dysmenorrhea, dyspareunia, and chronic pelvic pain were significantly lower in both groups compared with baseline values; in particular, significantly lower values were observed in group B versus group A for the severity. Presacral neurectomy improves the cure rate in women who are treated with conservative laparoscopic surgery for severe dysm...Continue Reading

References

May 11, 2011·Current Pain and Headache Reports·Ja Hyun Shin, Fred M Howard
Jan 19, 2016·American Journal of Obstetrics and Gynecology·Martin HirschInternational Collaboration to Harmonize Outcomes and Measures for Endometriosis
Mar 19, 2014·Fertility and Sterility·Practice Committee of the American Society for Reproductive Medicine
Dec 3, 2011·Obstetrics and Gynecology Clinics of North America·Fred M Howard
Mar 27, 2015·Journal of Evaluation in Clinical Practice·Maria Beatriz F GurianFrancisco José Candido Dos Reis
Oct 11, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Vasilis KapetanakisJavier Magrina
Dec 14, 2016·American Journal of Obstetrics and Gynecology·Christopher M RipperdaMarlene M Corton
Aug 8, 2009·Clinical Obstetrics and Gynecology·Michelle CatenacciTommaso Falcone
Sep 3, 2014·Human Reproduction Update·Nicolas BourdelMichel Canis
May 22, 2007·Clinical Obstetrics and Gynecology·Charles W Butrick
Aug 21, 2008·Obstetrical & Gynecological Survey·Brittany BettendorfFrank Tu
Apr 9, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ted T M Lee, Linda C Yang
Mar 20, 2009·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·P VercelliniLuigi Fedele
Mar 13, 2009·Human Reproduction Update·Sun-Wei Guo
Jun 24, 2010·Orvosi hetilap·Eniko BerkesJános Rigó
Aug 26, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·N P JohnsonJ Suckling
Oct 20, 2005·The Cochrane Database of Systematic Reviews·M L ProctorN P Johnson
Jul 17, 2010·Human Reproduction Update·J P DanielsInternational LUNA IPD Meta-analysis Collaborative Group
Sep 9, 2020·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Joyce Beatriz da SilvaJúlio Rosa-E-Silva Silva
Jul 3, 2004·Current Opinion in Obstetrics & Gynecology·Ray Garry
Jul 7, 2017·Current Opinion in Obstetrics & Gynecology·Christina Ramirez, Nicole Donnellan
Jun 11, 2016·Current Opinion in Obstetrics & Gynecology·Sangeeta SenapatiMark Frank F Tu
Jul 17, 2020·Current Pain and Headache Reports·Daniel CarlyleCho Yonghee
Aug 28, 2014·Obstetrics and Gynecology·John F Steege, Matthew T Siedhoff
Jan 19, 2008·Expert Opinion on Pharmacotherapy·Allison K Rodgers, Tommaso Falcone
Oct 24, 2020·The Cochrane Database of Systematic Reviews·Celine BafortJames Mn Duffy

Related Concepts

Cockayne Syndrome
Endometrioma
Dysmenorrhea
Dyspareunia
Pelvis
Denervation
Pelvic Pain
Postoperative Complications
Double-Blind Method
Endometriosis

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Sexual Dimorphism in Neurodegeneration

There exist sex differences in neurodevelopmental and neurodegenerative disorders. For instance, multiple sclerosis is more common in women, whereas Parkinson’s disease is more common in men. Here is the latest research on sexual dimorphism in neurodegeneration

HLA Genetic Variation

HLA genetic variation has been found to confer risk for a wide variety of diseases. Identifying these associations and understanding their molecular mechanisms is ongoing and holds promise for the development of therapeutics. Find the latest research on HLA genetic variation here.

Super-resolution Microscopy

Super-resolution microscopy is the term commonly given to fluorescence microscopy techniques with resolutions that are not limited by the diffraction of light. Here are the latest discoveries pertaining to super-resolution microscopy.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells.

Brain Lower Grade Glioma

Low grade gliomas in the brain form from oligodendrocytes and astrocytes and are the slowest-growing glioma in adults. Discover the latest research on these brain tumors here.

CD4/CD8 Signaling

Cluster of differentiation 4 and 8 (CD8 and CD8) are glycoproteins founds on the surface of immune cells. Here is the latest research on their role in cell signaling pathways.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Related Papers

The Australian & New Zealand Journal of Obstetrics & Gynaecology
C Wood, P Maher
Gynécologie, obstétrique & fertilité
K JardonMichel Canis
The Journal of the American Association of Gynecologic Laparoscopists
Fulvio ZulloPasquale Mastrantonio
© 2020 Meta ULC. All rights reserved