Best Doctor List Near You for Presacral Neurectomy in Saint thomas

Presacral neurectomy is a surgical procedure in which the nerves located in the presacral space, near the lower spine and sacrum, are severed to alleviate severe chronic pelvic pain. This surgery is most commonly performed in patients with endometriosis, where other treatments have failed to provide relief from debilitating menstrual pain (dysmenorrhea). The nerves targeted in a presacral neurectomy carry pain signals from the uterus and surrounding areas to the brain, and by cutting them, the patient can experience significant pain reduction. It is typically considered a last-resort option when conservative treatments, such as medication or less invasive surgery, have been unsuccessful. The main cause for performing a presacral neurectomy is severe, intractable pelvic pain associated with conditions like endometriosis or adenomyosis. In these conditions, the tissue lining the uterus grows abnormally, causing inflammation, scarring, and pain. For some women, the pain becomes unbearable and interferes with their quality of life, leading them to seek surgical solutions. Complications from presacral neurectomy can include bleeding, infection, and injury to nearby structures such as blood vessels, ureters, or intestines. Additionally, some patients may experience constipation, urinary issues, or bowel dysfunction due to the nerve damage. Another potential complication is the recurrence of pain, as nerve regeneration or other pain pathways may develop over time. Despite these risks, presacral neurectomy can offer substantial pain relief for women with chronic pelvic pain, improving their overall quality of life when other treatments are ineffective.