Presacral Neurectomy for Dysmenorrhea

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Abstract
THIS paper deals with a series of presacral neurectomies performed for relief of dysmenorrhea. A total of 111 operations have been done at the Massachusetts General Hospital and the Palmer Memorial Hospital from 1930-1946. In most cases the neurectomy was combined with dilatation and curettage, a suspension and any other necessary pelvic surgery that the gynecologic situation demanded. These 111 cases can be divided into a group with essential dysmenorrhea and a group with acquired dysmenorrhea. The patients in the former group had severe crampy pain starting shortly after the menarche, with painful menstruation that severely upset their social and . . .