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 Surgeries Robotics for Pelvic Pain
Minimally Invasive Surgery for Female Pelvic Pain Treatment of female pelvic pain is challenging for physicians and requires a great deal of patience from women who suffer from it. For women in whom conservative treatments have failed, surgeries such as hysterectomy may be helpful. Most hysterectomies can be done using a minimally invasive approach, avoiding a large incision. Not all women with pelvic pain will benefit from a hysterectomy. Before major surgery is considered, Dr. Pizarro will evaluate and counsel patients extensively. For women who already had or chose not to have a hysterectomy, robotics assisted surgery can serve to diagnose and treat conditions such as endometriosis, ovarian remnant syndrome, other pelvic masses, and scar tissue. A careful evaluation and proper testing with CAT scanning or other X-rays are essential before considering surgery. Another procedure for treatment of female pelvic pain is presacral neurectomy. The procedure involves removing some of the nerve tissue that carries pain from the pelvis. The nerve tissue lies over the front of the sacrum and requires very delicate, specialized surgical techniques for removal. In about 70% of carefully selected patients with certain type of pain, this procedure can cure pelvic pain or reduce it to a manageable level. Traditionally, presacral neurectomy and other surgeries such as those listed above have requird a large incision. Today these procedures can be done with small incisions using robotic assistance to improve the accuracy of such delicate surgery. Complications from these surgeries include bleeding, failure to cure the pain, and difficulty with bowel or bladder functions. For this reason, Dr. Pizarro recommends that women who undergo such procedures be selected very carefully. He encourages his patients to ask many questions about surgeries before making a final decision. |
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