In your case adhesive disease can be suspected but the only reliable way to be certain of the diagnosis is by surgical observation. Not sure if someone took you back to surgery and identifeid adhesions. The bad news is that surgery itself is a risk factor for adhesive disease because adhesions are related to the healing process and some patients form more scar tissue than others. As to who should perform your surgery is better addressed by your gynecologist. Either of the above mention specialist are capable of appropriately making the diagnosis and surgically managing disease when safe to do so.
Erich T. Wyckoff, MD, FACOG
Thank you for taking the time to answer my question. I had a Hysterectomy 2 yrs ago and recently began having lower abdominal pain (right below my bladder where my pelvic bone is). I've had an Ultrasound, Cystoscopy and a CT Scan, which all came back negative. The doctor speculates that I probably have scar tissue from my Hysterectomy. I do understand that having another surgery will most likely cause additional adhesions. I'm wondering if I DON'T have the surgery, will the suspected adhesions cause me any future serious problems in that area? Or, should I have surgery because the adhesions could in fact cause problems? I'm confused and don't know what to do. I prefer not to have the surgery if leaving the adhesions won't cause any other problems.