Laparoscopic Uterosacral Nerve Ablation and Chronic Pelvic Pain

9showed that the majority of uterosacral nerve fiber bundles were found at a distance of 6.5‐ 33 mm and at a depth of 3‐5 mm distal to the site of attachment of the uterosacral ligaments to the cervix. Wide variations in the practice of LUNA have been shown by comparing the UK group with the rest of Europe. The latter were more likely to completely transect the uterosacral ligaments (56% vs 36%) at a distance 2 cm or more from its cervical insertion (50% vs 21%) than the UK group. Even the tools for ablation varied between these 2 groups, i.e. laser cutting (3% vs 32%), electrodiathermy (78% vs 75%), scissors cutting (22% vs 15%), and harmonic scalpel for cutting (8% vs 11%). 9