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Pelvic Pain Treatment Options


Our pelvic pain physicians are fellowship-trained as minimally invasive surgeons. We will work with you to determine if surgery is necessary, and what surgery would best fit your needs. Our comprehensive options mean the best possible outcomes for you.

A surgeon's ability to perform difficult surgical procedures depends on training. Because our pelvic pain surgeons are fellowship trained and 100% dedicated to minimally invasive surgery, we are able to perform complicated procedures, including

  • Fibroid removal
  • Hysterectomy
  • Presacral Neurectomy (cutting nerves which create pain in the uterus)
  • Pudendal nerve decompression
  • Removal of adhesions (scar tissue)
  • Removal of ovaries
  • Removal of uterus with our without the ovaries
  • Resection of extensive endometriosis

Laparoscopy Surgery For Pelvic Pain

Laparoscopy is a minimally-invasive surgical technique. Traditional gynecologic surgery required a large incision across the abdomen, but with laparoscopic techniques, surgeons are able to perform advanced procedures through several (3-4) small incisions instead.

Using several small incisions, rather than one large incision, has many advantages for patients:

  • Faster recovery
  • Lack of a large scar on the abdomen
  • May leave the hospital the same day or the next morning after surgery
  • Able to return to work and daily activities faster
  • Considerably fewer restrictions in post-operative period

Laparoscopy Surgical Process

Laparoscopy is performed with a camera placed through an incision in the belly button and surgical instruments placed through the remaining incisions. Because laparoscopy is able to use a camera, surgeons have a superior view as compared to open surgery and can examine both the upper and lower part of the abdominal cavity.

Da Vinci Robotic Surgery For Pelvic Pain

Robotic surgery, more accurately called robotic-assisted laparoscopic surgery, is a surgical technique using a surgical robot with laparoscopic techniques.

In traditional laparoscopy, after instruments are placed through small incisions in the abdomen, surgeons directly hold those instruments to perform the surgery. In robotic-assisted laparoscopy, those instruments are connected to the da Vinci surgical robot and operated by a surgeon through movements of joysticks at the surgeon's console.

Using a surgical robot can allow for a greater range of motion of the instruments and a three dimensional vision of the area of surgery. Because the movement of instruments by the robot is more gentle than a human hand, there is less bruising and stretching of skin. Especially for difficult-to-treat gynecologic conditions, the da Vinci robot can allow for greater precision and better suturing - meaning less blood loss and pain after surgery.

All gynecologic procedures that are performed laparoscopically can be performed with the da Vinci surgical robot. Additionally, procedures which were difficult to do with traditional laparoscopy, such as removal of multiple large fibroids, are much easier with robotic assistance.

Center of Excellence

St. Joseph’s Hospital and Medical Center is proud to be an accredited SRC Center of Excellence in robotic surgery. Earning SRC’s robotic accreditation signifies our ability to deliver the safest and highest-quality care to our patient. Our commitment to this process has focused our team on exceeding clinical benchmarks and guidelines. Learn More.

Risks

Robotic surgery involves risk, some of which may be similar to those of conventional open surgery, such as a small risk of infection and other complications.

Are You a Candidate for Robotic Surgery?

Robotic surgery isn't an option for everyone. Talk with your doctor about the benefits and risks of robotic surgery and how it compares with other techniques, such as other types of minimally invasive surgery and conventional open surgery.

Robotic surgery may not be available at all Dignity Health hospitals and medical centers in your area.

Find a Pelvic Pain Specialist

To find a doctor who specializes in pelvic pain, call 602.406.7564.