Case report

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

  • Received: 31 July 2019 Accepted: 17 September 2019 Published: 26 September 2019
  • 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.

    Citation: Benjamin P Jones, Srdjan Saso, Timothy Bracewell-Milnes, Jen Barcroft, Jane Borley, Teodor Goroszeniuk, Kostas Lathouras, Joseph Yazbek, J Richard Smith. Laparoscopic uterosacral nerve block: A fertility preserving option in chronic pelvic pain[J]. AIMS Medical Science, 2019, 6(4): 260-267. doi: 10.3934/medsci.2019.4.260

    Related Papers:

  • 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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    Acknowledgments



    The authors would like to thank Dee Mclean for providing the artwork for Figure 3.

    Conflict of interest



    All authors declare no conflicts of interest in this paper.

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