Non-surgical interventions for the management of chronic pelvic pain

Cheong, Ying; Smotra, Grisham; Williams, Amanda C de C

doi:10.1002/14651858.cd008797.pub2

Cited by 87 publications

(79 citation statements)

References 38 publications

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“…Chronic pelvic pain is a common and debilitating condition; its etiology is multifactorial, involving social, psychological and biological factors [1]. Chronic pelvic pain (CPP) is one of the commonest symptomatology in gynecological outpatient clinics.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic pelvic pain (CPP) is defined as pain of at least 6 months duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment [1]. The causes are often obscure and patients of the CPP have significant disruption of their quality of life and nature varies from constant to recurring [2].…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Rather¹

2015

IJCEMS

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Introduction: Chronic pelvic pain (CPP) is intermittent or constant pain in the lower abdomen or pelvis for at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. This chronic pelvic pain (CPP) is poorly understood, and may have significant impact on a woman's health. Transvaginal sonography (TVS) and laparoscopy are useful in the evaluation of women with CPP. This research was designed to study role of TVS and diagnostic laparoscopy in chronic pelvic pain. Materials and Methods: This prospective study was done at Lalla Ded Hospital from August 2011 to July 2014. All female patients who had clinical diagnosis of CPP were evaluated with the TVS and laparoscopy and findings were recorded. Results: Total of 80 women had CPP. Normal TVS was present in 41 cases (51.25%). The remaining 39 (48.75%) had an abnormal scan. Laparoscopic confirmation of pelvic pathology was reported in 40 cases with abnormal scan but normal scan was confirmed only in 10 (12.50%) cases. Conclusion: In spite of similar specificity and positive predictive value, laparoscopy although being an invasive procedure still has got distinct advantages over TVS in terms of sensitivity and negative predictive value indicating its superiority in management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Rather¹

2015

IJCEMS

View full text Add to dashboard Cite

show abstract

“…However, due to the fact that its pathogenesis is complex, multifactorial and poorly understood, the pain can sometimes continue even though the apparent reason has been removed, and a non-specific treatment is needed [2,4,5,11,12]. A recent meta-analysis showed that the improvement effect of medical treatments on pain and QoL is limited and many medical treatments also bring significant side effects in many patients [28]. Although there are several well-defined invasive approaches for the treatment of CPP in the literature, well-organized prospective randomized controlled studies are few [2,11].…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

Sönmez¹,

Naykı²,

Ulug³

et al. 2016

Journal of Clinical and Experimental Investigations

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ÖZETAmaç: Kronik pelvik ağrılı (KPA) hastalarda ağrı tedavisinde laparoskopik olarak uterin sinirin etanol ile nörolizi-sinin (LUNEN) etkinliğinin araştırılması Yöntemler: Kimyasal bir nörolizis prosedürü olan LU-NEN, 22 hastaya uygulandı ve bunlar sadece tanısalk laparoskopi yapılan 20 kontrol hastayla karşılaştırıldı. Tedavi öncesi ve tedavi sonrası altıncı ayda Vizüel Analog Skalası (VAS) değerlendirildi, Ayrıca, ağrı kontrolünde hasta memnuniyetini sorgulayan subjektif bir ağrı değer-lendirmesi yapıldı. Methods: LUNEN, as a chemical neurolysis procedure, was performed on 22 subjects, and these were compared with 20 controls that had a diagnostic laparoscopy alone. Pre-treatment and postoperative 6 th month Visual Analogue Scale (VAS) scores were estimated and a subjective pain evaluation questioning patients' satisfaction about pain relief in the 6th month after surgery was also performed.Results: A total of 31 (73.8%) out of 42 CPP patients had a laparoscopic pelvic pathology. Preoperative VAS scores were similar in the groups; however, the mean postoperative VAS score was significantly lower in the LUNEN group than in the control group (3.18 ± 2.88 vs. 5.35 ± 3.09; p=0.02). In the LUNEN group, the number of patients who stated that their pain was relieved partially or completely was also significantly higher than in the control group (82% vs. 40%, p=0.019). Conclusion:LUNEN is a feasible, safe and effective surgical alternative to traditional surgical methods in patients suffering from CPP. J Clin Exp Invest 2016; 7 (1): 7-13

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“…However, due to the fact that its pathogenesis is complex, multifactorial and poorly understood, the pain can sometimes continue even though the apparent reason has been removed, and a non-specific treatment is needed [2,4,5,11,12]. A recent metaanalysis showed that the improvement effect of medical treatments on pain and QoL is limited and many medical treatments also bring significant side effects in many patients [28]. Although there are several welldefined invasive approaches for the treatment of CPP in the literature, well-organized prospective randomized controlled studies are few [2,11].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

Naykı

Sönmez²,

Ulug³

et al. 2016

J Clin Exp Invest

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Objective: To investigate the efficacy of laparoscopic uterine nerve ethanol neurolysis (LUNEN) for pain management in patients with chronic pelvic pain (CPP).Methods: LUNEN, as a chemical neurolysis procedure, was performed on 22 subjects, and these were compared with 20 controls that had a diagnostic laparoscopy alone. Pre-treatment and postoperative 6 th month Visual Analogue Scale (VAS) scores were estimated and a subjective pain evaluation questioning patients' satisfaction about pain relief in the 6th month after surgery was also performed.Results: A total of 31 (73.8%) out of 42 CPP patients had a laparoscopic pelvic pathology. Preoperative VAS scores were similar in the groups; however, the mean postoperative VAS score was significantly lower in the LUNEN group than in the control group (3.18 ± 2.88 vs. 5.35 ± 3.09; p=0.02). In the LUNEN group, the number of patients who stated that their pain was relieved partially or completely was also significantly higher than in the control group (82% vs. 40%, p=0.019). Conclusion:LUNEN is a feasible, safe and effective surgical alternative to traditional surgical methods in patients suffering from CPP. J Clin Exp Invest 2016; 7 (1): 7-13

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Non-surgical interventions for the management of chronic pelvic pain

Cited by 87 publications

References 38 publications

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

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