Help me!

[nellroy]

I have a lot of pelvic & vagina pain  and it is getting worse. My urologist says overactive bladder and currently  taking
enablex  which is not helping much , i do have trouble voiding  and before i do my vagina and pelvic hurt real bad and
even hurts afterward but not as much , he suggest surgery calle intrem therapy . I am not to thrilled with this and
wonder if this will stop my pain

[nellroy]

I had hysterectomy in 1987 & 1997 and my doctor then told me he had to burn off scar
adhesions and it was the worst he had seen and he took a picture of it, any way i have
what i call spasms which hurt so bad at times icant stand it ,even when i try to lay flat
when doing mri's or ct's i get them. I can turn certian ways or even stand still and get
them. Anyway I always tell each doctor about them but they seem to shrug it off
I feel like their wrapping around everything in my body and I do wonder if this is
what causes my bladder to overact ,I do have constipation alot (IBS) the doctor has
me on enablex  for the bladder and he suggest I have the InterStim Therapy done which I dont want because I break out on my rght buttocks with herpes virus which I got from
my first surgery which the doctor then had told me was because my body went into
shock from the major surgery. I cant even get my allergy shots on that side because
it makes me break out. He started me on Elmiron yesterday for my pelvic & vagina pain
which has helped some with that pain but since i have been on enablex for nearly two weeks  I still have some problems trying to void. So my question to you is do you think
it is possible that all this could be tied to adhesions and what is your take on the inplant

[Dr. Kokil Mathur]

Hi
Thanks for writing to the forum!
If you have a history of abdominal or pelvic surgery, then you must explore the possibility of adhesions. “Although most abdominal adhesions go unnoticed, the most common symptom is chronic abdominal or pelvic pain.” “No tests are available to diagnose adhesions, and adhesions cannot be seen through imaging techniques such as x rays or ultrasound. Most adhesions are found during exploratory surgery. An intestinal obstruction, however, can be seen through abdominal x rays, barium contrast studies—also called a lower GI series—and computerized tomography.”
“Surgery is currently the only way to break adhesions that cause pain, intestinal obstruction, or fertility problems. More surgery, however, carries the risk of additional adhesions and is avoided when possible.”
REFER: http://digestive.niddk.nih.gov/ddiseases/pubs/intestinaladhesions/
Pelvic and vaginal pain can be due to UTIs, vulvovaginitis, labial adhesions and foreign body in vagina like a toilet paper etc, STD, PID or pelvic inflammatory disease, uterine or extra uterine endometriosis, kidney stones and vaginal prolapse.
I think you should discuss these possibilities with your doctor, preferably a gynecologist. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind.