Surgical Management of Pelvic Pain

Howard T. Sharp
In: Chronic Pelvic Pain · 1998 · pp. 153–166 · doi:10.1007/978-1-4612-1752-7_10 · W941871045
book-chapter OA: closed CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Surgical management of chronic pelvic pain requires careful assessment and procedure selection when medical treatments fail and a surgically correctable source is identified.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This review discusses surgical management of chronic pelvic pain (CPP) when medical therapy has failed and when a surgically correctable pain source is suspected, emphasizing high-level preoperative assessment, procedure selection, and counseling because chronic nonmalignant pain can be hard to diagnose. It notes that while laparoscopy often identifies pathology (citing data where 61% of CPP patients vs 28% of controls had pathology), fewer than half report long-term pain relief, suggesting that laparoscopic pathology may be a surrogate endpoint and that true surgical success should be measured by function rather than findings alone. A key limitation is that the long-term impact of laparoscopy on outcome variables requires further study. Relevance to endometriosis: the paper cites prior work on laparoscopic appearances of peritoneal endometriosis and includes endometriosis-related discussions (e.g., presacral neurectomy and laser laparoscopy for endometriosis), though its overall focus is broad surgical management of chronic pelvic pain rather than endometriosis specifically.

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