Laparoscopic uterosacral nerve block: A fertility preserving option in chronic pelvic pain

Abstract

Chronic pelvic pain (CPP) can cause extreme physical distress in women and has widespread socio-economic consequences. Nerve root blocks have become a safe and effective treatment modality in multiple specialties in both the diagnosis and treatment of pain. We describe a novel technique of a laparoscopic uterosacral nerve block (USNB) and demonstrate its effectiveness in the treatment of a complex case of CPP. USNB has potential diagnostic, prognostic and therapeutic implications. It should therefore be considered as part of the multi-disciplinary management of women with CPP of suspected uterine origin such as adenomyosis, degenerating fibroids or following myomectomy.