Surgical interventions for chronic pelvic pain

Sangeeta Senapati, Diana Atashroo, Erin Carey, Erin T. Carey, Mark Dassel, Frank F. Tu, Mark Frank F Tu
Current opinion in obstetrics & gynecology · 2016 · vol. 28(4) , pp. 290–296 · doi:10.1097/gco.0000000000000281 · PMID:27285959 · W2416235790
review OA: closed CC0 ⤵ 7 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This review outlines surgical interventions for chronic pelvic pain, highlighting preoperative evaluation and the identification of peripheral pain sources as critical for successful outcomes in select patients unresponsive to medical management.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

PURPOSE OF REVIEW: The objective of this study is to review an evidence-based approach to surgical treatment of key chronic pelvic pain (CPP) contributors emphasizing the importance of preoperative evaluation and counseling. RECENT FINDINGS: CPP is a poorly understood but highly prevalent condition and there are limited, well constructed studies to guide effective, durable treatment. CPP arises from factors originating in multiple organ systems, including reproductive, urologic, gastrointestinal, and myofascial, all informing the central nervous system. For those with severe disabling conditions, who have a suboptimal response to medical management, surgical interventions can be offered for diagnostic evaluation and/or treatment. Leiomyoma, adenomyosis, adnexal disorder, pelvic adhesions, and pelvic varicosities are common considerations in the differential diagnosis of CPP amenable to surgical approach. SUMMARY: Surgical treatments of CPP range from conservative/fertility-sparing approaches to extirpative therapy. Consistently, successful outcomes often are predicated on correctly identifying the abnormal peripheral pain process (which often is only part of the complete picture for these patients). Further research is needed to better guide clinicians as to when to choose surgical therapy vs. targeting secondary contributors to pelvic pain.

My notes (saved in your browser only)

Condition tags

dysmenorrheachronic_pelvic_painadenomyosis

MeSH descriptors

Hysterectomy Hysterectomy Minimally Invasive Surgical Procedures Minimally Invasive Surgical Procedures Pelvic Pain Chronic Disease Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Female Humans Leiomyoma Leiomyoma Leiomyoma Leiomyoma Patient Selection Pelvic Pain Pelvic Pain Pelvic Pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (87)

Cited by (7)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:21:00.404924+00:00
License: CC0 · commercial use OK