• Marc Possover, Jan Baekelandt, and Vito Chiantera.
• Department of Obstetrics and Gynecology, St Elisabeth Hospital, Cologne, Germany. MarcPossover@aol.com
• Clin J Pain. 2007 Nov 1;23(9):821-5.

ObjectiveTo present different aspects and advantages of the laparoscopic approach to the pelvic nerves aimed at treating intractable pelvic neuralgia.MethodsWe report on a nonconsecutive series of 7 patients with different types and etiologies of chronic pelvic neuralgia, all of whom underwent laparoscopy. In all 7 cases, the neuralgia was refractory to medical management and had profound socioeconomic consequences for the patients.ResultsTechniques of laparoscopic transperitoneal neurolysis of several pelvic somatic nerves are described but also our technique of laparoscopic implantation of neuroprothesis for neuromodulation on somatic pelvic nerves or on autonomic pelvic nerves as the superior hypogastric plexus.DiscussionLaparoscopic approach to the pelvic nerves opens new possibilities for the diagnosis and treatment of pelvic neuralgia, and offers new curative surgical techniques.

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