Dr Jasdev Singh
Pelvic Adhesiolysis
Scar tissue can bind the pelvic organs together, causing pain or affecting fertility. Surgery carefully releases these bands so the organs can move more freely.
Open Gynaecological Surgery
Releasing scar tissue that binds the pelvic organs
Adhesions are bands of scar tissue that can form after surgery, infection or endometriosis. They can stick the ovaries, tubes, womb and bowel together. Adhesiolysis is surgery to divide them, usually by laparoscopy and sometimes through a larger cut.
Adhesions do not always cause problems, so surgery is advised only when they are likely to be the cause of your symptoms.
Dr Jasdev takes care to lower the chance of new adhesions forming.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What adhesiolysis gives you
- Release of organs held by scar tissue
- Possible relief of pain linked to adhesions
- Freeing of the tubes and ovaries when fertility is affected
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Review your symptoms, past surgery and scans
Divide the adhesions carefully during surgery
Plan recovery and review your symptoms
How the surgery works
Under general anaesthetic, the adhesions are divided with fine instruments, taking care near the bowel and bladder. Barrier products may be used to reduce new adhesions. The approach, keyhole or open, depends on your previous surgery and the extent of the scarring.
Who may benefit
Women with pelvic pain or infertility where adhesions are suspected or have been seen, often after previous surgery, infection or endometriosis.
What to expect
Recovery depends on the approach, from one to two weeks after keyhole surgery to around six weeks after open surgery. You will be told which symptoms need attention and when your review visit is. Your pain is reassessed once you have healed.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- Notes from previous operations
- Scan and fertility test results
- A diary of your pain
What women often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
Are adhesions causing my pain?
Will surgery cause more adhesions?
Will it help my fertility?
Is keyhole surgery possible for me?
Your questions about pelvic adhesiolysis
What is pelvic adhesiolysis?
It is surgery to divide bands of scar tissue that stick the pelvic organs together.
Who is it suitable for?
Women whose pain or infertility is likely to be caused by adhesions, often after previous surgery or endometriosis.
What tests are needed first?
A review of past operations, pelvic scans and sometimes a diagnostic laparoscopy.
Is it painful or risky?
Recovery involves some soreness. Risks include injury to the bowel, bladder or blood vessels, especially with dense scarring, and adhesions can return.
Why see Dr Jasdev for this?
He operates with care around delicate organs and uses techniques to reduce new scarring.
How do I book?
Call or WhatsApp the clinic, and bring notes from any previous surgery.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Find out whether adhesions are the cause
Book a consultation to review your history.