For many patients living with endometriosis and chronic pelvic pain, treatment can feel fragmented. Patients are often referred from specialist to specialist, gynecologist, pelvic floor physical therapy, pain management, gastroenterology, with little coordination between providers. This disconnected approach can delay recovery and leave many patients continuing to live in pain even after surgery.
At PRM, surgeons work within a different model: a fully integrated, multidisciplinary system designed specifically for complex pelvic pain and endometriosis care.
While excision surgery is an important and often necessary treatment for endometriosis, many patients continue to experience pain after surgery. This is because endometriosis is not just a surgical disease, it is a complex chronic pain condition that can involve:
Nerve sensitization
Pelvic floor dysfunction
Musculoskeletal dysfunction
Central pain processing changes
Coexisting pelvic pain conditions
If these factors are not addressed alongside surgery, patients may continue to experience symptoms even after technically successful procedures. This is why a multidisciplinary approach is so important in endometriosis care.
At Pelvic Rehabilitation Medicine, surgeons are part of a coordinated care team that includes:
Fellowship-trained excision surgeons
Pelvic pain medicine specialists
Pelvic floor therapy
Interventional pain procedures
Long-term pelvic pain management
This model allows patients to receive comprehensive care in one coordinated system rather than navigating multiple disconnected providers.
Instead of treating only the surgical component of disease, this approach addresses the full pain pathway, which often leads to better patient outcomes, improved recovery, and more sustainable long-term results.
Surgeons who practice in a multidisciplinary environment often describe several key differences in how they are able to care for patients:
Integrated care improves outcomes.
When pelvic floor dysfunction, nerve pain, and musculoskeletal issues are treated alongside surgery, patients often experience greater improvement in pain and function.
Real-time collaboration.
Surgeons can collaborate directly with pelvic pain specialists and other providers, allowing for faster decision-making and more coordinated treatment plans.
Treating the whole patient.
Rather than viewing surgery as the end of treatment, the multidisciplinary model supports patients before surgery, after surgery, and long-term.
Better long-term results.
By addressing the full pain pathway, the goal is not just symptom relief, but improved function and quality of life.
To better understand how a multidisciplinary model changes endometriosis and pelvic pain treatment, hear directly from the surgeons who practice within this system every day.
In the video below, PRM surgeons Faraj Touchan, Ethan Goldstein, Amro Elfeky, and Reza Askari share why they chose to practice within PRM’s integrated Centers of Excellence model and how working in a coordinated, multidisciplinary environment allows them to deliver more comprehensive care for patients with endometriosis and chronic pelvic pain.
They discuss how collaboration across specialties, pelvic floor therapy, pain management, and long-term care allows them to treat not just the disease, but the full pain pathway, leading to better outcomes and improved quality of life for patients.
The traditional healthcare model often treats pelvic pain conditions in isolation. But endometriosis and chronic pelvic pain are multifactorial conditions that require a comprehensive, coordinated approach.
The multidisciplinary model used at PRM’s Centers of Excellence is designed to:
Reduce the time patients spend searching for answers
Improve surgical outcomes
Address the neuromuscular causes of pelvic pain
Provide long-term support and management
Help patients return to daily function and quality of life
As awareness of endometriosis grows, more specialists are recognizing that surgery alone is not enough. The future of endometriosis care lies in integrated, multidisciplinary treatment models that address the full complexity of pelvic pain.
Because patients with pelvic pain don’t just need surgery, they need a system of care designed to help them heal.
Learn more about PRM’s Centers of Excellence and our multidisciplinary approach to endometriosis and pelvic pain care by visiting our website or speaking with our care team.
Pain is never normal. The pain stops here.