Guideline No. 445: Management of Chronic Pelvic Pain

Allaire, Catherine; Yong, Paul J.; Bajzak, Krisztina; Jarrell, John; Lemos, Nucelio; Miller, Colleen; Morin, Melanie; Nasr-Esfahani, Maryam; Singh, Sukhbir S.; Chen, Innie

doi:10.1016/j.jogc.2023.102283

Cited by 5 publications

(1 citation statement)

References 136 publications

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“…This is a surprising finding, as we often notice the somatic fixation on an organic cause of the pain, and the fear that healthcare providers think that the pain is "all in the head", this phenomenon is described by Allaire et al, Wainwright et al, and Fournier for chronic (pelvic) pain. [43][44][45] Most available literature focusses on the patients' perspectives on stigmatization of CPP and the barriers in seeking help. [46][47][48][49][50] Patients often feel ashamed, disbelieved and not taken seriously in their complaints.…”

Section: Implementing the MDCmentioning

confidence: 99%

Lessons learned from the experiences of patients with chronic pelvic pain syndrome (CPP syndrome) with a multidisciplinary consultation: a qualitative study

Wissing,

van der Net,

Engels

et al. 2024

Reg Anesth Pain Med

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IntroductionChronic pelvic pain syndrome is a complex multifactorial condition with an increasing prevalence probably due to a rising awareness. Chronic pelvic pain syndrome is pain in the pelvic area and often accompanied with complaints in other organ systems of the lesser pelvis. Patients with chronic pelvic pain syndrome who present at our center are evaluated in a standardized care pathway with an integrated multidisciplinary consultation. The team works in a single center and consists of gynecologists, pain specialists, urologists, a pelvic floor physiotherapist and a psychologist. The aim of this interview study is to evaluate the value of the multidisciplinary consultation from the patient’s perspectives.MethodsIn a qualitative study, we evaluated the experiences and perspectives of patients with chronic pelvic pain syndrome concerning the multidisciplinary consultation at the Radboud University Medical Center. Semistructured interviews were conducted with patients with chronic pelvic pain syndrome who attended a multidisciplinary consultation between 2019 and 2022. All interviews were transcribed verbatim, coded and analyzed via ATLAS.ti with the conventional content analysis.ResultsData saturation was reached after seven interviews, followed by three confirmative interviews. In total, 10 patients (22–76 years) participated in the study. Three relevant themes were identified in the interviews: the deleterious effects of pain on overall health, the importance of the design of the multidisciplinary consultation, and the performance of healthcare professionals (knowledge, skills and interaction with patients and colleagues). Participants suggested that although the consultation did not improve their pain experience, there was value in having a comprehensive assessment of their disease. Patients preferred the consultation to occur at the beginning of the care. Additionally, they acknowledged the performance of healthcare providers and having their complaints recognized. However, some participants suggested the need for additional attention to mental health issues during the multidisciplinary consultation.DiscussionEven though patients did not perceive the multidisciplinary consultation to improve their pain experience, they appreciated the sense of recognition by this team.ConclusionA multidisciplinary consultation is of value from the patients’ perspective. A suggestion for improvement emerged where the multidisciplinary consultation should occur at the beginning of the patient journey.

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