Title |
Surgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhoea
|
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Published in |
Cochrane database of systematic reviews, October 2005
|
DOI | 10.1002/14651858.cd001896.pub2 |
Pubmed ID | |
Authors |
Michelle Proctor, Pallavi Latthe, Cindy Farquhar, Khalid Khan, Neil Johnson |
Abstract |
Dysmenorrhoea is the occurrence of painful menstrual cramps of uterine origin and is a very common gynaecological complaint with negative effect on a sufferer's quality of life. Medical therapy for dysmenorrhoea includes oral contraceptive pills (OCP) and nonsteroidal anti-inflammatory drugs (NSAIDs) which both act by suppressing prostaglandin levels. While these treatments are very successful there is still a 20 to 25% failure rate and surgery has been an option for such cases. Uterine nerve ablation (UNA) and presacral neurectomy (PSN) are two surgical treatments that have become increasingly utilised in recent years due to advances in laparoscopic procedures. These procedures both interrupt the majority of the cervical sensory pain nerve fibres. Observational studies have supported the use of these procedures for primary dysmenorrhoea. However, both operations only partially interrupt the cervical sensory nerve fibres in the pelvic area and, therefore, this type of surgery may not always benefit women with dysmenorrhoea. |
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Geographical breakdown
Country | Count | As % |
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United States | 2 | <1% |
Italy | 1 | <1% |
Lithuania | 1 | <1% |
Sweden | 1 | <1% |
United Kingdom | 1 | <1% |
Poland | 1 | <1% |
Unknown | 231 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 39 | 16% |
Student > Bachelor | 29 | 12% |
Researcher | 24 | 10% |
Student > Ph. D. Student | 20 | 8% |
Other | 14 | 6% |
Other | 44 | 18% |
Unknown | 68 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 105 | 44% |
Nursing and Health Professions | 24 | 10% |
Psychology | 12 | 5% |
Biochemistry, Genetics and Molecular Biology | 5 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 1% |
Other | 17 | 7% |
Unknown | 72 | 30% |