Abstract
Study Objective This video will summarize the current literature and guidelines regarding presacral neurectomy (PSN), proper patient selection and surgical approach. We will identify the anatomy in the presacral space, relevant pelvic neuroanatomy and surgical pearls for performing PSN. The viewer will be able to apply key points from this video to clinical practice, allowing for optimization of PSN outcomes. Design N/A Setting Academic teaching hospital. Patients or Participants N/A Interventions PSN is a technically advanced pelvic denervation procedure. PSN has utility in addressing chronic pelvic pain and dysmenorrhea that specifically has a midline component. This video highlights the ongoing importance of effective patient selection, knowledge of anatomy and surgical expertise when performing PSN. Measurements and Main Results N/A Conclusion Presacral neurectomy remains a useful tool for the appropriately trained surgeon in the management of chronic pelvic pain.
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