Laparoscopic management of neural pelvic pain in women secondary to pelvic surgery

Fertility and Sterility
M Possover

Abstract

To report the impact of the laparoscopic approach to the pelvic nerves in the management of neural pelvic pain in women secondary to pelvic surgery. Clinical prospective study. Department of Gynecology and Obstetrics, St. Elisabeth Hospital, Cologne/Germany. One hundred twenty consecutive patients with pelvic neural pain after failure of all previous surgical and medical treatments. Control of visceral pelvic pain was based on the LION procedure to the superior hypogastric plexus for permanent neuromodulation while pelvic somatic pain were primarily managed by laparoscopic nerve decompression. Comparison pre- and postoperatively of the pain situation with the visual analogue scale (VAS score) and consumption of analgesics. Significant improvement was obtained in 65.5% of the patients with pelvic somatic pain (n = 113), whereas in seven patients with visceral pelvic pain, four of them reported on a significant reduction in the symptoms after neuromodulation of the superior hypogastric plexus. Laparoscopy is a unique method for diagnosis and therapeutic management of surgically damaged nerves and must be considered as a first-line option in the treatment of pelvic somatic pain, whereas in regard to the management of pelvic viscer...Continue Reading

Citations

Nov 9, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J RigaudJ-J Labat
Mar 16, 2011·Annals of the New York Academy of Sciences·Tal Z Jacobson
Sep 28, 2010·Fertility and Sterility·Marc PossoverKlaus-Peter Henle
Apr 23, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Malgorzata KolodziejHans-Rudolf Tinneberg
Mar 31, 2021·Journal of Gynecology Obstetrics and Human Reproduction·Sophie SanguinCéline Klein

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