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Re: CHRONICPAIN: Presacral Neurectomy (PSN) LUNA
From: Robin (anonymous@obgyn.net)
Tue, 1 Apr 2008 20:16:50 -0500 (CDT)
I had a LUNA performed without much success. I then had a PSN done
about 18 months later with very limited success, which was very short
term.
At Tue, 1 Apr 2008, Daniel Martin, MD wrote:
>
>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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