Surgical Evaluation and Treatment of the Patient with Chronic Pelvic Pain

Holloran-Schwartz MB, M.B. Holloran-Schwartz, M Brigid Holloran-Schwartz
Obstetrics and Gynecology Clinics of North America · 2014 · vol. 41(3) , pp. 357–369 · doi:10.1016/j.ogc.2014.05.003 · PMID:25155118 · W2070935038
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This paper details the surgical evaluation and treatment strategies for patients experiencing chronic pelvic pain, focusing on diagnostic approaches and interventions.

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Abstract

Treatment of patients with chronic pelvic pain is assisted by detailed history, physical examination, pain diary, and ultrasonography. The possibility of other contributing systems (eg, gastrointestinal, genitourinary, musculoskeletal) should also be addressed and treatment initiated if present. A diagnostic surgical procedure is helpful in patients for whom medical management or whose severity of pain warrants an urgent diagnosis. Limited evidence exists to support adhesions, endometriosis, ovarian cysts, ovarian remnants, and hernias as being causes of chronic pelvic pain. In select patients, ovarian cystectomy, excision of endometriosis and ovarian remnants, adhesiolysis, hysterectomy, hernia repair, and presacral neurectomy may provide relief.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Autonomic Denervation Chronic Pain Female Urogenital Diseases Gastrointestinal Diseases Hypogastric Plexus Laparoscopy Pelvic Pain Autonomic Denervation Chronic Pain Chronic Pain Endometriosis Endometriosis Female Female Urogenital Diseases Female Urogenital Diseases Female Urogenital Diseases Gastrointestinal Diseases Gastrointestinal Diseases Gastrointestinal Diseases Humans

Citation neighborhood

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Cited by (10)

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License: CC0 · commercial use OK