Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study
Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis. Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe end...
Gespeichert in:
| Veröffentlicht in: | American journal of obstetrics and gynecology 1992-07, Vol.167 (1), p.100-103 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 103 |
|---|---|
| container_issue | 1 |
| container_start_page | 100 |
| container_title | American journal of obstetrics and gynecology |
| container_volume | 167 |
| creator | Candiani, Giovanni Battista Fedele, Luigi Vercellini, Paolo Bianchi, Stefano Nola, Giuliana Di |
| description | Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis.
Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (
n = 36) or conservative surgery and presacral neurectomy (
n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale.
Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two.
Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases. |
| doi_str_mv | 10.1016/S0002-9378(11)91636-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73344684</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002937811916366</els_id><sourcerecordid>73344684</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-a9f0eedb47a0638f902341308041419ae7b5351496a8e3d482fac3793f69c8c3</originalsourceid><addsrcrecordid>eNqFkUuLFDEQgIMo67j6ExZyENFDa9LJpBMvsiy-YEHBvYeadMWNdHfGVHpl_r3dO8N69FQU9dWDrxi7kOKtFNK8-yGEaBunOvtayjdOGmUa84htpHBdY6yxj9nmAXnKnhH9WtPWtWfsTGrdOmE27Of3ggShwMAnnAuGmscDj7nweou8FoQ64lR5jnyPw10KfA9p4kCUQ4KKPf-T6i3Hqc8j1pIyJXrPL3nIUy15GBaA6twfnrMnEQbCF6d4zm4-fby5-tJcf_v89eryuglay9qAiwKx3-kOhFE2OtEqLZWwQkstHWC326qt1M6ARdVr20YIqnMqGhdsUOfs1XHsvuTfM1L1Y6KAwwAT5pl8p5TWxuoF3B7BUDJRwej3JY1QDl4Kv_r19379Ks9L6e_9erP0XZwWzLsR-39dR6FL_eWpDhRgiAWmkOgB00qsFyzYhyOGi4u7hMVTSDgF7NP6A9_n9J9D_gJnT5fd</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73344684</pqid></control><display><type>article</type><title>Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Candiani, Giovanni Battista ; Fedele, Luigi ; Vercellini, Paolo ; Bianchi, Stefano ; Nola, Giuliana Di</creator><creatorcontrib>Candiani, Giovanni Battista ; Fedele, Luigi ; Vercellini, Paolo ; Bianchi, Stefano ; Nola, Giuliana Di</creatorcontrib><description>Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis.
Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (
n = 36) or conservative surgery and presacral neurectomy (
n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale.
Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two.
Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/S0002-9378(11)91636-6</identifier><identifier>PMID: 1442906</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Dysmenorrhea - surgery ; Dyspareunia - surgery ; Endometriosis ; Endometriosis - physiopathology ; Endometriosis - surgery ; Female ; Humans ; Medical sciences ; Pain - surgery ; pelvic pain ; presacral neurectomy ; Sacrum - innervation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland</subject><ispartof>American journal of obstetrics and gynecology, 1992-07, Vol.167 (1), p.100-103</ispartof><rights>1992 Mosby</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-a9f0eedb47a0638f902341308041419ae7b5351496a8e3d482fac3793f69c8c3</citedby><cites>FETCH-LOGICAL-c441t-a9f0eedb47a0638f902341308041419ae7b5351496a8e3d482fac3793f69c8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937811916366$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4303344$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1442906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Candiani, Giovanni Battista</creatorcontrib><creatorcontrib>Fedele, Luigi</creatorcontrib><creatorcontrib>Vercellini, Paolo</creatorcontrib><creatorcontrib>Bianchi, Stefano</creatorcontrib><creatorcontrib>Nola, Giuliana Di</creatorcontrib><title>Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis.
Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (
n = 36) or conservative surgery and presacral neurectomy (
n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale.
Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two.
Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Dysmenorrhea - surgery</subject><subject>Dyspareunia - surgery</subject><subject>Endometriosis</subject><subject>Endometriosis - physiopathology</subject><subject>Endometriosis - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pain - surgery</subject><subject>pelvic pain</subject><subject>presacral neurectomy</subject><subject>Sacrum - innervation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUuLFDEQgIMo67j6ExZyENFDa9LJpBMvsiy-YEHBvYeadMWNdHfGVHpl_r3dO8N69FQU9dWDrxi7kOKtFNK8-yGEaBunOvtayjdOGmUa84htpHBdY6yxj9nmAXnKnhH9WtPWtWfsTGrdOmE27Of3ggShwMAnnAuGmscDj7nweou8FoQ64lR5jnyPw10KfA9p4kCUQ4KKPf-T6i3Hqc8j1pIyJXrPL3nIUy15GBaA6twfnrMnEQbCF6d4zm4-fby5-tJcf_v89eryuglay9qAiwKx3-kOhFE2OtEqLZWwQkstHWC326qt1M6ARdVr20YIqnMqGhdsUOfs1XHsvuTfM1L1Y6KAwwAT5pl8p5TWxuoF3B7BUDJRwej3JY1QDl4Kv_r19379Ks9L6e_9erP0XZwWzLsR-39dR6FL_eWpDhRgiAWmkOgB00qsFyzYhyOGi4u7hMVTSDgF7NP6A9_n9J9D_gJnT5fd</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Candiani, Giovanni Battista</creator><creator>Fedele, Luigi</creator><creator>Vercellini, Paolo</creator><creator>Bianchi, Stefano</creator><creator>Nola, Giuliana Di</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study</title><author>Candiani, Giovanni Battista ; Fedele, Luigi ; Vercellini, Paolo ; Bianchi, Stefano ; Nola, Giuliana Di</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-a9f0eedb47a0638f902341308041419ae7b5351496a8e3d482fac3793f69c8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Dysmenorrhea - surgery</topic><topic>Dyspareunia - surgery</topic><topic>Endometriosis</topic><topic>Endometriosis - physiopathology</topic><topic>Endometriosis - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pain - surgery</topic><topic>pelvic pain</topic><topic>presacral neurectomy</topic><topic>Sacrum - innervation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Candiani, Giovanni Battista</creatorcontrib><creatorcontrib>Fedele, Luigi</creatorcontrib><creatorcontrib>Vercellini, Paolo</creatorcontrib><creatorcontrib>Bianchi, Stefano</creatorcontrib><creatorcontrib>Nola, Giuliana Di</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Candiani, Giovanni Battista</au><au>Fedele, Luigi</au><au>Vercellini, Paolo</au><au>Bianchi, Stefano</au><au>Nola, Giuliana Di</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>167</volume><issue>1</issue><spage>100</spage><epage>103</epage><pages>100-103</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: Our objective was to evaluate the efficacy of presacral neurectomy combined with conservative surgery for the treatment of pelvic pain associated with endometriosis.
Study design: In a randomized, controlled study performed in a tertiary institution 71 patients with moderate or severe endometriosis and midline dysmenorrhea were randomly assigned to conservative surgery alone (
n = 36) or conservative surgery and presacral neurectomy (
n = 35). Main outcome measures were relief of dysmenorrhea, pelvic pain, and deep dyspareunia after surgery according to a multidimensional and an analog pain scale.
Results: Presacral neurectomy markedly reduced the midline component of menstrual pain, but no statistically significant differences were observed between the two groups in the frequency and severity of dysmenorrhea, pelvic pain, and dyspareunia in the long-term follow-up. After presacral neurectomy, constipation developed or worsened in 13 patients and urinary urgency occurred in three and a painless first stage of labor in two.
Conclusion: Presacral neurectomy should be combined with conservative surgery for endometriosis only in selected cases.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>1442906</pmid><doi>10.1016/S0002-9378(11)91636-6</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1992-07, Vol.167 (1), p.100-103 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73344684 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Biological and medical sciences Dysmenorrhea - surgery Dyspareunia - surgery Endometriosis Endometriosis - physiopathology Endometriosis - surgery Female Humans Medical sciences Pain - surgery pelvic pain presacral neurectomy Sacrum - innervation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland |
| title | Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: A controlled study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T16%3A25%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Presacral%20neurectomy%20for%20the%20treatment%20of%20pelvic%20pain%20associated%20with%20endometriosis:%20A%20controlled%20study&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Candiani,%20Giovanni%20Battista&rft.date=1992-07-01&rft.volume=167&rft.issue=1&rft.spage=100&rft.epage=103&rft.pages=100-103&rft.issn=0002-9378&rft.eissn=1097-6868&rft.coden=AJOGAH&rft_id=info:doi/10.1016/S0002-9378(11)91636-6&rft_dat=%3Cproquest_cross%3E73344684%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=73344684&rft_id=info:pmid/1442906&rft_els_id=S0002937811916366&rfr_iscdi=true |