Interrupting the Pain Pathway: Presacral Neurectomy What is a Presacral Neurectomy? Presacral Neurectomy (PSN) is a specialized surgical procedure designed to treat chronic, central pelvic pain by interrupting the pain signals sent to the brain. It involves the careful excision or removal of the "Superior Hypogastric Plexus"—a bundle of nerves located in the presacral space (just in front of the sacrum) that transmits pain signals from the uterus and cervix. This procedure is typically performed laparoscopically or through robotic-assisted surgery. Using high-definition cameras, the surgeon identifies the nerve bundle at the base of the spine and removes a small segment. This effectively "mutes" the transmission of pain from the central pelvic organs without affecting the motor function of the bladder or bowel. Why is this Procedure Personally Vital for You? PSN is a transformative option for women whose lives are dominated by debilitating pelvic pain. This pathway is personally vital for you if: You Suffer from Severe Adenomyosis or Midline Endometriosis: For pain located specifically in the center of the pelvis (midline) that occurs during menstruation or intercourse, PSN provides significant and often permanent relief. Hormonal and Medical Therapies have Failed: If birth control, pain medications, or previous conservative surgeries have not provided adequate relief, PSN targets the nervous system directly to stop the pain at its source. You Wish to Preserve Your Uterus: Unlike a hysterectomy, which removes the organ to stop the pain, PSN allows you to keep your reproductive organs while specifically addressing the pain transmission. Chronic Pelvic Pain is Impacting Your Quality of Life: If your daily activities, sleep, and mental well-being are compromised by persistent pelvic distress, this procedure offers a data-driven path to neurological stabilization. The Path to Neurological Relief and Stability The goal of a presacral neurectomy is to provide a long-term "disruption" of the pain cycle while stabilizing your pelvic health. This pathway is designed to: Provide Precision Nerve Excision: Our surgeons use high-magnification tools to ensure only the sensory pain nerves are removed, safeguarding the surrounding vascular structures and autonomic nerves. Ensure Clinical Readiness through Rigorous Screening: Because this procedure involves working near major blood vessels and the spine, we require a full medical history, diagnostic X-rays (specifically a chest X-ray for anesthesia clearance and often a pelvic MRI to map the presacral space), and comprehensive blood tests (including full blood counts and inflammatory markers). A Focused Recovery and Stabilization Window: While the "keyhole" incisions heal quickly, the nervous system requires time to adjust to the interruption of pain signals. We focus on a 2–3 week recovery and stabilization period. During this window, we monitor your bladder and bowel function closely and ensure your inflammatory levels are perfectly stabilized before you resume full activity. All details are subject to doctor evaluation for the final treatment plan.