{"paper_id":"e04734cc-0853-4913-bfa0-b27aaafe0153","body_text":"Abstract\nSurgical management of chronic pelvic pain (CPP) is ideally performed when medical management has failed and a surgically correctable pain source has been identified. In reality, the cause of chronic, nonmalignant pain is often difficult to diagnose, particularly when no ongoing tissue damage or noxious stimulus is evident. In addition to performing a technically correct surgery, therefore, appropriate preoperative patient assessment, procedure selection, and patient counseling are critical to the overall success of the surgery. Before resorting to diagnostic or therapeutic surgery, a meticulous history and physical examination should be performed to identify nonsurgical and nongynecological causes of pain. Although laparoscopy is frequently used to evaluate patients with CPP, its effect on long-term outcome variables needs further study. In a review by Howard, 61% to patients with CPP had pathology at laparoscopy opposed to 28% in the control group.1 Less than 50% of these women, however, experienced long-term pain relief. The discovery of pathology may therefore be a surrogate endpoint, whereas true surgical success should be measured by a patient’ s ability to function.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nHoward FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv 1993; 48: 357–87.\nThe American College of Obstetricians and Gynecologists. Quality assessment and improvement in obstetrics and gynecology. Washington, DC, American College of Obstetricians and Gynecologists, 1994.\nTravell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore, William & Wilkins, 1983.\nSlocumb JC. 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Dis Colon Rectum 1994; 37: 719–20.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1998 Springer Science+Business Media New York\nAbout this chapter\nCite this chapter\nSharp, H.T. (1998). Surgical Management of Pelvic Pain. In: Blackwell, R.E., Olive, D.L. (eds) Chronic Pelvic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1752-7_10\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-1752-7_10\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7265-6\nOnline ISBN: 978-1-4612-1752-7\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}