Featured Research

from universities, journals, and other organizations

Study Examines Effectiveness Of Laparoscopic Surgical Treatments To Alleviate Chronic Pelvic Pain

Date:
September 1, 2009
Source:
JAMA and Archives Journals
Summary:
A surgical procedure known as LUNA (laparoscopic uterosacral nerve ablation) did not result in improvements in chronic pelvic pain, painful menstruation, painful sexual intercourse or quality of life when compared with laparoscopic surgery that does not interrupt pelvic nerve connections, according to a new study.

A surgical procedure known as LUNA (laparoscopic uterosacral nerve ablation) did not result in improvements in chronic pelvic pain, painful menstruation, painful sexual intercourse or quality of life when compared with laparoscopic surgery that does not interrupt pelvic nerve connections, according to a study in the September 2 issue of JAMA.

Related Articles


"Chronic pelvic pain in women is as common as asthma and chronic back pain, is one of the most difficult and perplexing of women's health problems and has a multifactorial etiology," the authors provide as context for their study. "Chronic pelvic pain has a major effect on health-related quality of life, work attendance and productivity, and health care use, accounting for 40 percent of referrals for diagnostic laparoscopy, and is an important contributor to health care expenditures. Treatments for chronic pelvic pain are often unsatisfactory." The authors add, "LUNA was adopted by many practitioners because afferent nerves from pelvic organs pass through the utero-sacral ligament and it was thought that disruption of these would reduce the perceived pain."

Jane Daniels, M.Sc., from Birmingham Women's Hospital, University of Birmingham, England and colleagues from the LUNA Trial Collaboration conducted a randomized controlled study with 487 women with chronic pelvic pain at 18 hospitals in the United Kingdom between February 1998 and December 2005. The women were randomized into two groups: 243 women received the LUNA procedure and 244 received laparoscopy without pelvic denervation (no LUNA). Follow-up questionnaires were sent to study participants at three and six months and at one, two, three and five years. The primary outcome was pain and the secondary outcome was health-related quality of life.

"After a median [midpoint] follow-up of 69 months, there were no significant differences reported on the visual analogue pain scales for the worst pain between the LUNA group and the no LUNA group," the authors found. There were also no significant differences found for noncyclical pain, dysmenorrhea (painful menstruation), or dyspareunia (difficult or painful sexual intercourse). Nor were there differences observed between the LUNA group and the no LUNA group for quality of life.

In conclusion the authors write, "The LUNA trial was designed to assess the effects of LUNA compared with no denervation among women undergoing diagnostic laparoscopy for chronic pelvic pain. LUNA did not alleviate any type of pain – noncyclical pain, dysmenorrhea, or dyspareunia – or improve the quality of life, irrespective of the presence or absence of mild endometriosis."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jane Daniels; Richard Gray; Robert K. Hills; Pallavi Latthe; Laura Buckley; Janesh Gupta; Tara Selman; Elizabeth Adey; Tengbin Xiong; Rita Champaneria; Richard Lilford; Khalid S. Khan; on behalf of the LUNA Trial Collaboration. Laparoscopic Uterosacral Nerve Ablation for Alleviating Chronic Pelvic Pain: A Randomized Controlled Trial. JAMA, 2009; 302 (9): 955-961 [link]

Cite This Page:

JAMA and Archives Journals. "Study Examines Effectiveness Of Laparoscopic Surgical Treatments To Alleviate Chronic Pelvic Pain." ScienceDaily. ScienceDaily, 1 September 2009. <www.sciencedaily.com/releases/2009/09/090901163916.htm>.
JAMA and Archives Journals. (2009, September 1). Study Examines Effectiveness Of Laparoscopic Surgical Treatments To Alleviate Chronic Pelvic Pain. ScienceDaily. Retrieved October 31, 2014 from www.sciencedaily.com/releases/2009/09/090901163916.htm
JAMA and Archives Journals. "Study Examines Effectiveness Of Laparoscopic Surgical Treatments To Alleviate Chronic Pelvic Pain." ScienceDaily. www.sciencedaily.com/releases/2009/09/090901163916.htm (accessed October 31, 2014).

Share This



More Health & Medicine News

Friday, October 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

U.S. Ebola Response Measures Demonstrated

U.S. Ebola Response Measures Demonstrated

AP (Oct. 31, 2014) Officials in the Washington area showed off Ebola response measures being taken at Dulles International Airport and the National Institutes of Health. (Oct. 31) Video provided by AP
Powered by NewsLook.com
Fauci Says Ebola Risk in US "essentially Zero"

Fauci Says Ebola Risk in US "essentially Zero"

AP (Oct. 30, 2014) NIAID Director Anthony Fauci said the risk of Ebola becoming an epidemic in the U.S. is essentially zero Thursday at the Washington Ideas Forum. He also said an Ebola vaccine will be tested in West Africa in the next few months. (Oct. 30) Video provided by AP
Powered by NewsLook.com
Nurse Defies Ebola Quarantine With Bike Ride

Nurse Defies Ebola Quarantine With Bike Ride

AP (Oct. 30, 2014) A nurse who vowed to defy Maine's voluntary quarantine for health care workers who treated Ebola patients followed through on her promise Thursday, leaving her home for an hour-long bike ride. (Oct. 30) Video provided by AP
Powered by NewsLook.com
Pot-Infused Edibles Raise Concerns in Colorado

Pot-Infused Edibles Raise Concerns in Colorado

AFP (Oct. 30, 2014) Colorado may have legalized marijuana for recreational use, but the debate around the decision still continues, with a recent - failed - attempt to ban cannabis-infused edibles. Duration: 01:53 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins