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A presacral sympathectomy has been used to alleviate pelvic pain from dysmenorrhea and pelvic cancer
A presacral sympathectomy is the cutting or cauterisation of the ganglion of nerves in and by this space.
It is a treatment for pelvic pain – nerves in this area being those that carry that pain to the brain.
Historically it has been used to treat dysmenorrhea, this is uncommon today.
The removal of pelvic pain indicates it can be useful in treating endometriosis.
This involves arthroscopy – keyhole surgery – and a general anaesthetic. Incisions will be made into the trunk to allow entry into the pelvic region.
Physical movement is possible the next day – the incisions necessary are small but will require some rest and time to heal.
The use of a general anaesthetic will usually require an overnight stay in hospital and returning to home the day after the operation.
Specific to a sympathectomy there is also the possibility of damage to nerves surrounding the targets.