It's not just....



Pelvic Pain

Interstitial Cystitis (IC)

Irritable Bowel Syndrome (IBS)

Pudendal Neuralgia / Neuropathy (PN)



Complex Abdomino-Pelvic & Pain Syndrome


Somewhere in the late 1990’s, shortly after its inception, the International Adhesions Society coined the term “Adhesion Related Disorder” (ARD) as a result of its research it had started into the nature of the problems of adhesions, from the perspective of the patient. Having adhesions is about much more than bowel obstruction, pelvic or abdominal pain, and that’s why we starting calling this ARD:

“Adhesion Related Disorder” (ARD): a constellation of recurrent bowel obstruction, chronic abdominal or pelvic pain, chronic diarrhea or constipation. Patients often develop a variety of psychosocial issues, and have undergone a number of procedures in an attempt to diagnose and/or correct a sometimes unidentifiable underlying problem.

Going beyond ARD, IAS's more recent work led to the realisation that adhesions and ARD are part of a wider set of overlapping and coalescing conditions including ENDOMETRIOSIS, Pelvic Pain, Interstitial Cystitis (IC), Irritable bowel syndrome (IBS) and even fibromyalgia.

We now understand that a patient presenting with say chronic pelvic pain, may very well have, or develop bowel and bladder problems, as well as psycho-social issues that develop as a result of their condition.

Attempting to treat these conditions as separate entities for the most part is an exercise in frustration. Although they may start out as separate conditions, they end up as essentially one condition - CAPPS.

What is needed is a multi-disciplinary and integrated or holistic approach. And to start we need to understand these individual conditions in the context of a family of conditions to which they belong.

Once we understand the disease we can begin on its prevention and treatment.

Accordingly we have coined the term:



Complex Abdomino-Pelvic & Pain Syndrome

and established an internet-based society:


International Society for Complex Abdomino-Pelvic & Pain Syndrome.

Our first task has been to develop the world's first clinic for the integrated diagnosis and treatment of CAPPS in conjunction with a major hospital group in Florida.

Welcome to the ISCAPPS website. We hope that you will find helpful information and most of all.... hope.