PELVIC ADHESIONS & CHRONIC PELVIC PAIN
Pelvic adhesions are bands of internal scar tissue that can form after surgery, endometriosis, infection, or inflammation.
At Miklos & Moore, we evaluate women with chronic pelvic pain and suspected adhesions to determine whether scar tissue or another pelvic condition may be contributing to their symptoms.
Pelvic adhesions can develop after hysterectomy, C-section, endometriosis surgery, ovarian surgery, prolapse repair, mesh surgery, or other abdominal and pelvic procedures.
Some adhesions cause no symptoms at all. In other women, dense adhesions may restrict the normal movement of pelvic organs and may contribute to chronic pelvic or abdominal pain, pulling sensations, painful intercourse, or bowel-related symptoms.
Dr. John Miklos and Dr. Robert Moore have extensive experience evaluating women with complex pelvic pain and previous pelvic surgery. When appropriate, minimally invasive laparoscopic surgery may be used to directly evaluate the pelvis and carefully release selected adhesions.
Laparoscopic adhesiolysis is a minimally invasive surgical procedure used to separate pelvic or abdominal tissues that have become abnormally attached by scar tissue.
Not every woman with adhesions needs surgery, and removing adhesions does not guarantee that pelvic pain will resolve. Drs. Miklos and Moore carefully evaluate each patient’s symptoms, previous surgeries, imaging, and other possible causes of pelvic pain before recommending treatment.
Their experience in advanced laparoscopic and reconstructive pelvic surgery is especially important for women who have undergone multiple prior surgeries or have complex pelvic anatomy.
Drs. John Miklos and Robert Moore are board-certified urogynecologists with extensive experience in advanced laparoscopic and pelvic reconstructive surgery. They evaluate women with chronic pelvic pain, suspected pelvic adhesions, endometriosis, previous hysterectomy, mesh complications, and pain following multiple pelvic or abdominal surgeries. When adhesions are believed to be contributing to a patient’s symptoms, laparoscopic adhesiolysis may be considered. Because adhesions do not always cause pain and can reform after surgery, Drs. Miklos and Moore carefully evaluate each patient before recommending another operation.
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Insurance coverage for the evaluation and treatment of pelvic adhesions depends on the patient’s diagnosis, symptoms, insurance plan, and whether treatment is considered medically necessary. Diagnostic testing, specialist evaluation, and laparoscopic adhesiolysis may be covered in appropriate cases when performed for conditions such as chronic pelvic pain, bowel-related complications, or other medically documented problems. Coverage and authorization requirements vary by insurance company and individual policy. The Miklos & Moore team can help patients understand applicable insurance benefits and authorization requirements before treatment.
“COMPLEX PELVIC ADHESION SURGERY REQUIRES EXPERIENCE WITH DISTORTED ANATOMY, PRIOR SURGERY, AND DELICATE PELVIC STRUCTURES.”
Why experience in advanced laparoscopy, urogynecology, and pelvic reconstructive surgery matters
Pelvic adhesion surgery can be technically demanding, particularly in women who have undergone multiple previous abdominal or pelvic procedures. Adhesions may involve the bowel, bladder, ureters, ovaries, vaginal cuff, pelvic sidewall, or other structures, and normal anatomical planes may be difficult to identify.
When choosing a surgeon, patients should consider experience with:
- Advanced laparoscopic pelvic surgery
- Complex pelvic anatomy
- Previous hysterectomy and C-section surgery
- Endometriosis and scar tissue
- Mesh complications and prior reconstructive surgery
- Bowel, bladder, and ureteral adhesions
- Revision surgery after previous pelvic procedures
Drs. John Miklos and Robert Moore are board-certified urogynecologists with extensive training in Female Pelvic Medicine and Reconstructive Surgery and minimally invasive pelvic surgery. Their experience includes complex laparoscopic procedures, pelvic reconstruction, mesh complications, and adhesiolysis in women who have undergone previous pelvic operations.
Because removing adhesions does not guarantee relief of pelvic pain and surgery can result in new adhesion formation, Drs. Miklos and Moore carefully evaluate each patient before recommending another operation.