About Presacral Neurectomy

Presacral neurectomy is a surgical procedure aimed at relieving chronic pelvic pain by targeting the presacral plexus, a network of nerves located near the lower spine, in the presacral region. These nerves are responsible for transmitting pain signals from the pelvic organs to the brain. By selectively removing or severing the nerves in the presacral plexus, this procedure disrupts the transmission of pain signals, providing relief from persistent pelvic pain, often associated with conditions such as endometriosis or dysmenorrhea.

Procedure of Presacral Neurectomy

1. Preoperative Evaluation:
   Before presacral neurectomy, the patient undergoes a comprehensive evaluation. This includes a detailed medical history, physical examination, and imaging studies to confirm the source of pelvic pain and determine if the procedure is appropriate.

2. Anesthesia:
   The surgery is performed under general anesthesia to ensure the patient is comfortable and remains unconscious throughout the procedure.

3. Incision and Exposure:
   A small incision is made in the lower abdomen to access the presacral region. The surgeon carefully exposes the presacral plexus, the targeted area for nerve dissection.

4. Nerve Dissection:
   The surgeon identifies the nerves within the presacral plexus and selectively severs or removes them. This step is crucial for interrupting the transmission of pain signals from the pelvic organs to the brain.

5. Closure and Recovery:
   After the nerve dissection is completed, the incision is meticulously closed, and the patient receives wound care. Postoperative monitoring ensures a smooth recovery, and the patient is usually discharged once stable. The recovery period may involve pain management and gradual return to normal activities.

Presacral neurectomy is often considered when other treatments have failed to manage chronic pelvic pain, offering a targeted approach to pain relief and potentially improving the patient’s quality of life.