Evidence for Surgery for Pelvic Pain

Management of Chronic Pelvic Pain Buy print or eBook [Opens in a new window] A Practical Manual - Management of Chronic Pelvic Pain - Management of Chronic Pelvic Pain - Copyright page - Contents - Contributors - Foreword - Chapter 1 Introduction to Chronic Pelvic Pain - Chapter 2 Neurobiological Basis of Pelvic Pain - Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain - Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain - Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain - Chapter 6 Pharmacological Management of Patients with Pelvic Pain - Chapter 7 Evidence for Surgery for Pelvic Pain - Chapter 8 Pelvic Pain Arising from Endometriosis - Chapter 9 Bladder Pain Syndrome - Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome - Chapter 11 Irritable Bowel Syndrome - Chapter 12 Vulvodynia - Chapter 13 Pelvic Pain Arising from Adhesive Disease - Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome - Chapter 15 Pudendal Neuralgia - Chapter 16 Other Peripheral Pelvic Neuralgias - Chapter 17 Chronic Pain After Gynecological Surgery - Chapter 18 Pain Arising from Pelvic Mesh Implants - Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain - Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain - Chapter 21 If Everything Else Fails - Index - References Published online by Cambridge University Press: 08 March 2021 Edited by Book contents - Management of Chronic Pelvic Pain - Management of Chronic Pelvic Pain - Copyright page - Contents - Contributors - Foreword - Chapter 1 Introduction to Chronic Pelvic Pain - Chapter 2 Neurobiological Basis of Pelvic Pain - Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain - Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain - Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain - Chapter 6 Pharmacological Management of Patients with Pelvic Pain - Chapter 7 Evidence for Surgery for Pelvic Pain - Chapter 8 Pelvic Pain Arising from Endometriosis - Chapter 9 Bladder Pain Syndrome - Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome - Chapter 11 Irritable Bowel Syndrome - Chapter 12 Vulvodynia - Chapter 13 Pelvic Pain Arising from Adhesive Disease - Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome - Chapter 15 Pudendal Neuralgia - Chapter 16 Other Peripheral Pelvic Neuralgias - Chapter 17 Chronic Pain After Gynecological Surgery - Chapter 18 Pain Arising from Pelvic Mesh Implants - Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain - Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain - Chapter 21 If Everything Else Fails - Index - References Among the physicians who see patients for pelvic pain some feel that the only proper treatment is surgery and others that nonsurgical treatment should be the mainstay of therapy. The truth of course lies in the middle, and the most effective providers are not only excellent surgeons but also recognize the importance of physical therapy, pharmacological treatments, and psychological counseling. One of the problems with assessing the effectiveness of surgery and comparing outcomes between the providers is that there are different skill levels, and what one provider calls complete resection of endometriosis or adhesiolysis another may deem as incomplete. In the hands of good and qualified surgeons some procedures unequivocally are beneficial for patients. Resection of endometriosis has clearly been shown to be beneficial provided other causes of pain are also treated. In our practice patients with complete adhesiolysis also seem to have good improvement of pain. It is true that pain may return with time but patients may have few good years, after which they may be candidates for a repeat procedure. 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