Role and technique of nerve-sparing surgery in deep endometriosis



Nerve-sparing (NS) surgery reduces bowel, bladder and sexual dysfunction without decreasing surgical efficacy.


This study aimed to summarize the anatomical and surgical data of NS technique and to review the post-operative outcomes after NS surgery for deeply infiltrating endometriosis (DIE).

Data sources

Data were collected from published research articles from MEDLINE and the Cochrane Library databases.

Conclusions, implications of key findings

The NS technique approach for DIE seems to be feasible and reproductive. In comparison to the conventional surgery (CS), it seems to demonstrate better preservation of pelvic visceral function and an improvement in quality of life with same recurrence rates. The concept of preservation of autonomic nerves during surgical treatment of DIE should become standard in reference center.

J Endometr Pelvic Pain Disord 2016; 8(4): 141 - 151

Article Type: REVIEW



Marcello Ceccaroni, Roberto Clarizia, Linda Tebache

Article History


Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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  • Department of Obstetrics and Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar (Verona) - Italy
  • Department of Obstetrics and Gynecology, CHR Citadelle, Université de Liege, Liege - Belgium

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