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Minimal Pain Reduction After Pelvic Nerve Ablation

Last Updated: September 01, 2009.

Laparoscopic surgery with pelvic nerve ablation does not reduce pain or improve quality of life in women with chronic pelvic pain, according to a study in the Sept. 2 issue of the Journal of the American Medical Association.

TUESDAY, Sept. 1 (HealthDay News) -- Laparoscopic surgery with pelvic nerve ablation does not reduce pain or improve quality of life in women with chronic pelvic pain, according to a study in the Sept. 2 issue of the Journal of the American Medical Association.

Jane Daniels, from the University of Birmingham in the United Kingdom, and colleagues randomly assigned 487 women with chronic pelvic pain (greater than six months) to interruption of nerve trunks in the uterosacral ligaments by laparoscopic uterosacral nerve ablation (LUNA) or laparoscopy without pelvic denervation.

After a median follow-up of 69 months, as assessed by the visual analogue pain scales, the researchers found that the two groups had similar worst pain, non-cyclical pain, dyspareunia, and dysmenorrhea. The two groups also reported similar quality of life.

"Among women with chronic pelvic pain, LUNA did not result in improvements in pain, dysmenorrhea, dyspareunia, or quality of life compared with laparoscopy without pelvic denervation," Daniels and colleagues conclude.

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