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Sacral plexus surgery
and sciatic nerve surgery

Sacral plexus and sciatic nerve surgery in endometriosis

Endometriosis can sometimes involve the sacral plexuses and sciatic nerves, causing intense and disabling pelvic pain. These pains can be particularly difficult to treat with conventional methods, and require a specialized surgical approach to relieve patients and improve their quality of life.

At IFEM Endo, we offer management of these complex forms of endometriosis using advanced surgical techniques and a multidisciplinary team for comprehensive, personalized treatment.

Symptoms and signs of nerve endometriosis

The main clinical manifestations of endometriosis affecting the sacral plexuses and sciatic nerves are :

  • Severe pelvic pain radiating to the legs
  • Sciatic pain (pain in the buttocks, thighs and legs)
  • Motor difficulties or feelings of weakness in the lower limbs
  • Exacerbated pain during menstruation or with certain postures (sitting, standing)

These pains can be intense and disabling, requiring a targeted approach to improve patient comfort.

Diagnosis of endometriosis-related nerve damage

The diagnosis of endometriosis affecting the sacral plexuses and sciatic nerves is based on :

  • Thorough clinical examination : search for radiating pain, assessment of reflexes and mobility
  • Advanced imaging: pelvic and pelvic MRI, CT scan or targeted ultrasound to localize nerve damage
  • Electromyogram (EMG ): to assess nerve involvement

These pains can be intense and disabling, requiring a targeted approach to improve patient comfort.

Targeted surgery of the sacral plexuses and sciatic nerves

Sacral plexus and sciatic nerve surgery consists mainly of :

  • Nerve release in cases of compression by endometriotic lesions
  • Removal of lesions and preservation of nerve structures to limit the risk of complications
  • Sometimes minimally invasive or laparoscopic surgery to minimize scarring and promote rapid recovery

The aim is to relieve pain and prevent recurrence, while preserving nerve function and reducing the risk of long-term complications.

Post-operative follow-up and rehabilitation

After the operation, a rigorous follow-up program is put in place to ensure full recovery:

Neurological rehabilitation

Physiotherapy and exercises to improve mobility and reduce pain

Hormonal monitoring

Treatment to limit endometriosis recurrence

Psychological support

Support for patients with chronic pain

Follow-up is crucial to ensure lasting improvement and a return to normal quality of life.

Endometriosis
of the sacral plexuses
in figures

20-25

patients with sacral plexus damage operated on every year

82,7%

of patients with sacral plexus involvement also have a severe rectal lesion

47%

of patients with sacral plexus involvement also have a urinary tract lesion

Get help from a sacral plexus endometriosis specialist

If you suffer from unexplained pelvic or sciatic pain, or have been diagnosed with nerve endometriosis, the IFEM Endo team is here to help.

Book an appointment for a full assessment and tailor-made care.

Last updated on May 5, 2025 @ 12:36