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Pelvic pain that started after surgery — Myths and facts

Medically reviewed by Dr Renaud Bollens — Professor of Urology

Myths and facts

Separating myth from fact on post surgical pelvic nerve pain, because the myths are what keep patients undiagnosed for years.

Pain that begins after a pelvic operation and does not follow the expected healing curve should raise the question of nerve injury, entrapment in scar tissue or fixation by mesh.

The pattern matters: pain in a nerve territory, triggered by position, with altered sensation, is different from ordinary post-operative soreness.

Dr Bollens assesses post-surgical cases regularly, including patients who have had several operations already. Reviewing operative notes is a standard part of that work-up.

A structured specialist review replaces guesswork with a mechanism — or rules our field out entirely.