Abstract:

Presacral neurectomy (PSN) has been successfully used to treat women experiencing midline premenstrual and menstrual dysmenorrhea along with midline pelvic pain for almost 100 years. Recent developments in minimally-invasive surgical technique have allowed the gynecologic surgeon to perform laparoscopic presacral neurectomy (LPSN) as an isolated procedure or in conjunction with other conservative procedures for the treatment of pelvic pain and dysmenorrhea.

Authors:

E. Dan Biggerstaff, III, M.D., The Advanced Surgery Center at Candler Hospital, Savannah, GA, Zoltan Szabo, Ph.D., F.I.C.S., MOET Institute, San Francisco, CA

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