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Re: CHRONICPAIN: Presacral Neurectomy (PSN) LUNA

From: Daniel Martin, MD (anonymous@obgyn.net)
Tue, 1 Apr 2008 15:20:29 -0500 (CDT)

Message posted on Daniel Martin, MD behalf by: Hope Waltman, Women’s Health Forum Moderator

Regarding: Presacral Neurectomy (PSN)

One problem you may have finding a physician is that presacral Neurectomy (PSN) was a popular operation in the 1960s and 1970s. This was a routine part, along with uterine suspension, of surgery for endometriosis. It was occasionally used as an isolated procedure in selected cases.

Recent data suggests that PSN may give short term relief (6 months or less) but few patients have long term relief (more than 1 year). PSN is done at the same time as treatment of endometriosis by some physicians. PSN is not commonly done as an isolated procedure since many physicians do not think the risk of surgery justify the use of the procedure as there is little long term relief.

A second problem is that the front desk may not recognize your words. Ask if they do deep endometriosis surgery, laparoscopic uterine nerve ablation (LUNA) or presacral neurectomy (PSN). Asking about endometriosis, LUNA and PSN increases the chance they will recognize what you are asking.

NOTE: LUNA is almost never done as an isolated procedure. PSN is uncommonly done as an isolated procedure. 

--
Daniel Martin, MD
Germantown, TN
Website: http://www.danmartinmd.com


  Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.


At Mon, 31 Mar 2008, Mandy wrote:
>
>Good Morning :) I was wondering if someone might be able to help me.  My
>pain managment doctor has referred me to a doctor here in Wisconsin to
>have a presacral neurectomy performed.  However, this doctor is not one
>of my in-network doctors (big suprise there).  My question is if anyone
>knows of any doctor around or in Wisconsin that performs this surgery.  I
>have called all the obgyn's around here and none of the places I have
>talked to know of or won't tell me of any doctors that perform this
>surgery.  Or if anyone can tell me if I'm calling the wrong type of
>doctors.  The doctor I was referred to works at a fertility clinic here
>in Madison, Wisconsin.  Part of the problem is his receptionists won't
>tell me of other doctors that might do the surgery because I'm not one
>of their patients.  I would be so grateful if anyone could help me out.
>Even if you know of a doctor that does it that's not near Wisconsin.
>Thank you for your help.
>Mandy





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