Pelvic pain: A chronic visceral pain syndrome

Wesselmann, Ursula; Czakanski, Peter

doi:10.1007/s11916-001-0005-2

Cited by 28 publications

(16 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pelvic pain in women may be induced by gynecological, urological, gastrointestinal, musculoskeletal or psychiatric pathologies [1], and can be of visceral and/or neuropathic origin [2][3][4][5]. Recommended state-of-the-art treatments for visceral and neuropathic pain differ considerably [4,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study

Sator-Katzenschlager

Scharbert

Kress

et al. 2005

Wien Klin Wochenschr

132

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study

Sator-Katzenschlager

Scharbert

Kress

et al. 2005

Wien Klin Wochenschr

132

View full text Add to dashboard Cite

show abstract

“…The absence of an associated pelvic floor dysfunction might be considered as a negative predictive sign for the good outcome of a neuromodulation therapy in CPPS, because of a potential visceral origin of pain, as they positively responded later to inferior hypogastric plexus blockade [21,24] .…”

Section: Discussionmentioning

confidence: 99%

Cycling Sacral Root Neuromodulation: Pilot Study to Assess the Effectiveness of This Mode in Neuromodulator Programming for the Treatment of Chronic Pelvic Pain Syndrome

Cappellano¹,

Ciotti²,

Tafuri³

et al. 2017

Med Surg Urol

View full text Add to dashboard Cite

Aim: There is lack of evidence of the role of sacral root neuromodulation (SNM) in the management of chronic pelvic pain syndrome (CPPS). We evaluated the effectiveness of cycling sacral root neuromodulation (CSNM) in the management of CPPS in patients non responders to conservative treatment. Methods:A prospective, single center, cohort study was carried out on all patients with CPPS refractory to conventional treatment, who underwent test stimulation using the tined lead between February 2012 and March 2016. During test stimulation the tine lead was positioned along the third sacral nerve, on the side where they reported more pain. Success was defined as >50% improvement of pain and concurrent urinary symptoms. After a successful SNM test period of 4 weeks, patients received a permanent implant. We also included 9 more patients already with a permanent implant and partial responders to continuous mode in neuromodulator programming. To assess pain and quality of life, all patients filled-in a VAS scale and SF-36 and McGill questionnaires, at baseline, after the 4-week test period ad after the permanent implant.Results: Overall 22 consecutive adult patients were suitable to undergo a cycling test stimulation; 19 out of them (86.3%) underwent a permanent implant after a satisfactory test phase, using a codified cycling mode of programming. Eighteen naive patients out of nineteen (94.7%) maintained the benefits of the test stimulation at a mean follow up of 21.3 months. VAS scale, McGill and SF-36 questionnaires scores improved significantly in all domains with a 95% satisfaction rate; 7 out of the 9 already implanted patients (77.7%) significantly improved their pain control.Conclusion: CSRN appears to be effectiveness in treating CPPS in both naïve and previous implanted partial responder patients.

show abstract

“…Working together as part of a multidisciplinary team is a critical and much-needed resource for dealing with CPP. 25 It may be incumbent upon a medical acupuncturist to advocate for this in his or her institution if one does not already exist.…”

Section: Discussionmentioning

confidence: 99%

Case Series: Acupuncture and Pelvic Pain

Pickett¹

2013

Medical Acupuncture

View full text Add to dashboard Cite

Background: Pelvic pain can be a difficult condition to manage. Acupuncture may play a role in multidisciplinary management of this complex syndrome in consultation with primary care, obstetrics/gynecology, urology, gastroenterology, physical therapy, mental health, pain management, and other associated disciplines.Objective: This article reviews some of the acupuncture literature associated with pelvic pain and discusses 4 cases who were managed in an outpatient setting. Design: The article presents a retrospective case series utilizing a chart review. All subjects had written informed consent obtained for acupuncture treatment. Given that this was a retrospective review of only 4 patients, no institutional review board approval was necessary, per the requirements of the Nellis Air Force Base Clinical Investigation Program. Setting: These patients were treated at an outpatient military family medicine acupuncture referral clinic. Patients: Four female patients were referred by various sources to an acupuncture clinic over 2 years. The patients were diagnosed with pelvic pain or dyspareunia. Results: All 4 patients had subjective reduction of their pelvic pain after 4-8 acupuncture treatments. Conclusions: Given that this was only a case series with no formal study protocol, no definitive conclusions can be drawn. This article was prepared only to share some varied successful acupuncture techniques that a practitioner may want to consider using to manage pelvic pain.

show abstract

Pelvic pain: A chronic visceral pain syndrome

Cited by 28 publications

References 31 publications

Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study

Chronic pelvic pain treated with gabapentin and amitriptyline: A randomized controlled pilot study

Cycling Sacral Root Neuromodulation: Pilot Study to Assess the Effectiveness of This Mode in Neuromodulator Programming for the Treatment of Chronic Pelvic Pain Syndrome

Case Series: Acupuncture and Pelvic Pain

Contact Info

Product

Resources

About