Addition of laparoscopic uterine nerve ablation to laparoscopic bipolar coagulation of uterine vessels for women with uterine myomas and dysmenorrhea

Yuan Kuei Yen, Wei Min Liu, Chiou Chung Yuan, Heung Tat Ng

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Study Objective. To assess the effectiveness of laparoscopic uterine nerve ablation (LUNA) in women with dysmenorrhea caused by uterine myomas treated by laparoscopic bipolar coagulation of uterine vessels (LBCUV). Design. Prospective, randomized, longitudinal study (Canadian Task Force classification II-1). Setting. Private practice, university-affiliated hospital. Patients. Eighty-five women with uterine leiomyomas and associated dysmenorrhea. Intervention. Laparoscopic bipolar coagulation of uterine vessels with or without LUNA. Measurements and Main Results. Of 85 patients who entered the study, 41 were assigned to undergo LBCUV-LUNA (group A), which was successful in 40 (97.6%). In 44 women assigned to have LBCUV only (group B), 43 (97.7%) underwent successful surgery. Eighty women completed 1-, 3-, and 6-month follow-up (38 group A, 42 group B). The groups did not differ significantly in age, history of abdominopelvic surgery, intraperitoneal adhesions, endometriosis, concomitant surgery, and operating time. Seven (18.4%) of 38 women in group A and 12 (28.6%) of 42 in group B experienced lower abdominal pain postoperatively. Acceptable pain was defined as a score of zero or 1: 31 and 30 women in groups A and B reported scores of zero; 3 and 2 reported scores of 1; 4 and 8 reported scores of 2; zero and 2 reported scores of 3; and no patients reported scores of 4. The frequency and severity of postoperative pain were less in group A than in group B (both p

Original languageEnglish
Pages (from-to)573-578
Number of pages6
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume8
Issue number4
DOIs
Publication statusPublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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