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Laparoscopic uterosacral nerve block: A fertility preserving option in chronic pelvic pain

1 West London Gynecological Cancer Centre, Hammersmith Hospital, Imperial College NHS Trust, London W12 OHS, UK
2 Department of Surgery and Cancer, Imperial College London, Du Cane Road, London W12 0NN, UK
3 The Lister Hospital, Chelsea Bridge Road, London SW1W 8RH, UK

topic section: Infertility

Chronic pelvic pain (CPP) can cause extreme physical distress in women and has widespread socio-economic consequences. Nerve root blocks have become a safe and effective treatment modality in multiple specialties in both the diagnosis and treatment of pain. We describe a novel technique of a laparoscopic uterosacral nerve block (USNB) and demonstrate its effectiveness in the treatment of a complex case of CPP. USNB has potential diagnostic, prognostic and therapeutic implications. It should therefore be considered as part of the multi-disciplinary management of women with CPP of suspected uterine origin such as adenomyosis, degenerating fibroids or following myomectomy.
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