Bladder pain after surgery

3 weeks ago, I had a laparotomy with severe adhesions to my left ovary (which I lost) to my bowel and bladder.  Everything was "unstuck" and I also lost half my rt. ovary and appendix.  All of this was done for pain and the known endometrioma I had on my rt. ovary.

Fast forward 3 weeks, and I still have horrible pain when my bladder is full, as well as when I urinate.  It's not an infection (it's been checked), as I'm currently on heavy antibiotics (at home on IV) for a post-op infection.  Since clearing up the infection has taken center stage, I've just assumed the bladder pain was due to the adhesions being cut away.  Is this a good/bad assumption?  Basically, I don't know how long pain from the surgery should last.  If it's about time the discomfort should be gone, should I call my gyn or my urologist (as I don't have a uro/gyn.)  Is it likely that if I went to my urologist she'd do a cystoscopy?  That's my fear, which is why I haven't already called her.  I don't think I could tollerate that right now.

Thank you for any thoughts you might have on this,
KRP, age 32

[Lennox Hoyte, M.D.]

Sorry to hear about all of your surgery. Bladder pain can sometimes be from the bladder, or it can be referred from the muscles in the pelvic floor. Get your bladder evaluated, and if that turns up negative, it may be time to visit with a pelvic floor physical therapist, who can evaluate your muscles for trigger points, which may be causing your symptoms.