Pelvic Pain Management 
Treatment Q & A
by Yvonne Wolny, MD, FACOG

 

What causes chronic pelvic pain?

 

Reproductive organs:                            

• Uterine fibroids

• Adenomyosis

• Adnexal cysts

• Endometriosis

• Pelvic inflammatory disease​

​

Urinary Tract:

• Interstitial cystitis

• Painful bladder syndrome

• Kidney stones​

​

Gastrointestinal tract:

• Irritable bowel syndrome

• Constipation​

• Hemorrhoids

​

Musculoskeletal Disorders:

• Ligament disorder

• Muscles strain

• Osteoarthritis

 

How is Chronic pelvic pain diagnosed?

• Ultrasound

• Laparoscopy 

• Cystoscopy 

• Colonoscopy 

• Sigmoidoscopy 

​

How is Pelvic Pain and Endometriosis Treated

• Oral Contraception Pills

• Pain medication ( analgesics)

• Laparoscopy, Diagnostic and Operative 

• Lysis o Adhesions

• Treatment of Endometriosis

• Resection of adnexal/pelvic cysts/lesions

​

How is Pelvic Pain and Endometriosis Treated with Robotic Technology?

​

Robotic-assisted, laparoscopic surgery uses a 3-D high-definition camera and surgeon-guided robotic arms which allows for precise excision of endometriosis. Excision of endometriosis is the best treatment for endometriosis and laparoscopic surgery is minimally invasive. Ideally, all of the endometrial lesions will be excised. Excision of endometriosis is the only treatment known which can cure the disease and thus improve quality of life. This helps to relieve symptoms by eliminating the tissue which is causing the bleeding and discomfort. Patients heal quickly from this procedure and there is minimal scarring. The robotic arm can translate the surgeon's movements into small actions and thus provides advanced precision and dexterity when operating.