Chronic Pelvic Pain in Gynecological Practice

Radzinsky, V.E.; Оразов, М.Р.; Kostin, I. N.

doi:10.31550/1727-2378-2019-162-7-30-35

2019

DOI: 10.31550/1727-2378-2019-162-7-30-35

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Chronic Pelvic Pain in Gynecological Practice

V.E. Radzinsky¹,

М.Р. Оразов²,

I. N. Kostin³

Abstract: Цель обзора: рассмотреть основные причины возникновения синдрома хронической тазовой боли (ХТБ), описать критерии объективной оценки ХТБ и эффективный алгоритм персонифицированного подхода к терапии. Основные положения. Тазовая боль негативно отражается на качестве жизни женщины из-за дезорганизации центральных механизмов регуляции важнейших функций организма, неблагоприятно воздействует на психологическое состояние пациенток, их трудоспособность, социальное функционирование и семейные отношения. ХТБ может быт… Show more

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Cited by 8 publications

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Treatment of chronic pelvic pain

A¹

2020

OGIJ

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Chronic pelvic pain syndrome (HTB) is one of the problems of modern women. The applied methods of treatment are not always effective due to the multifactorial nature of the causes of the disease. Goal: search for the most optimal therapy aimed at enhancing the processes of sanogenesis, more effective response of the body to pain syndrome. We studied 2 groups of patients with HTB. !1 group of 14 women with HTB were treated by injecting the drug traumel C into the pelvic pain points, and in the second group (32 women), Ketonal was used on novocaine using the same technology. 14 months after treatment, all women in group 1 and 20% of women in the second group had no recedive.

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Treatment of chronic pelvic pain

A¹

2020

OGIJ

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Problems of chronic pelvic pain in modern gynecology

Borisova,

Ibragimova,

Ivanova

et al. 2023

Ross. vestn. akush.-ginekol.

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Uterine fibroids: modern methods of treatment, advantages and complications

Aleynikova

Solovyeva

2023

Vestn. Ross. univ. družby nar., Ser. Med.

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The state of the reproductive system by women with uterine fibroids is considered as a part of this literature review. The main clinical manifestations of myomatous nodes were identified by writing the review: abnormal uterine and heavy menstrual bleeding, infertility, miscarriage, chronic pelvic pain, dysfunction of adjacent organs, which are indications for surgical treatment. It is noted that approximately 30 % of women with uterine fibroids suffer from abnormal uterine bleeding, leading to anemia and reduced quality of life. Chronic pelvic pain significantly reduces the quality of life of patients, worsening their functional and mental state and disrupting sexual function. This review focuses on reproductive problems in women with leiomyoma. Taking into consideration the high prevalence of this nosology and the need to preserve the fertility of patients, the review describes modern methods of treating patients with uterine myoma, including drug therapy surgical treatment and alternative methods. Currently, in order to stop the symptoms of uterine fibroids, as well as for preoperative preparation, conservative therapy is used, which allows to reduce pain, restore hemoglobin levels, reduce intraoperative blood loss and reduce surgery time. Reproductive disorders associated with uterine fibroids, such as infertility, recurrent miscarriage, and adverse obstetric outcomes, are a significant reason to improve organ-preserving therapies or develop new ones. Although hysterectomy is a radical treatment for uterine fibroids, it is unacceptable for patients who have not realized their reproductive function. Therefore, the most justified intervention is myomectomy with various surgical approaches, and as an alternative treatment, uterine artery embolization, radiofrequency ablation or high-intensity focused ultrasound treatment of uterine fibroids. These data allow us to conclude that the high prevalence and versatility of symptoms of uterine fibroids among patients of reproductive age determine the relevance of searching for optimal methods of treatment.

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Chronic Pelvic Pain in Gynecological Practice

Cited by 8 publications

References 3 publications

Treatment of chronic pelvic pain

Treatment of chronic pelvic pain

Problems of chronic pelvic pain in modern gynecology

Uterine fibroids: modern methods of treatment, advantages and complications

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