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When to ask for a specialist second opinion on pelvic pain — Evidence and experience

Medically reviewed by Dr Renaud Bollens — Professor of Urology

Evidence and experience

What the evidence and two decades of surgical experience say about pelvic pain second opinion.

Ask for a second opinion when your pain has lasted more than six months, when investigations have been normal, when treatment has been symptomatic only, or when nobody has yet named a mechanism for your pain.

A useful second opinion is not just another appointment. It is a structured review of every previous investigation, imaging study and treatment response by someone who sees this pattern constantly.

Patients from the United States regularly send their records to Pelvic Institute for review before travelling. Most of the work — history, records, imaging, planning — happens before anyone books a flight.

Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.