The 2013 EAU Guidelines on Chronic Pelvic Pain: Is Management of Chronic Pelvic Pain a Habit, a Philosophy, or a Science? 10 Years of Development

Engeler, Daniel S.; Baranowski, A.; Dinis-Oliveira, Paulo; Elneil, Sohier; Hughes, John; Messelink, Embert-Jan; Ophoven, Arndt van; Williams, Amanda C de C

doi:10.1016/j.eururo.2013.04.035

Cited by 248 publications

(301 citation statements)

References 49 publications

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“…Convincing them of the need for psychotherapy is a challenge, as also reported by the International Association for the Study of Pain 21 . Current recommendations suggest multidisciplinary and biopsychosocial approaches to optimize results 9,22 .…”

Section: Discussionmentioning

confidence: 99%

Analysis of 230 women with chronic pelvic pain assisted at a public hospital

Deus¹,

Santos²,

Bosquetti³

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES:Chronic pelvic pain is prevalent, presents difficult treatment and has been poorly investigated. The objective of this study was to analyze 230 patients from the chronic pelvic pain ambulatory of Hospital das Clíni-cas, Federal University of Goiás. METHODS:Cross-sectional and intervention study, from [2007][2008][2009][2010][2011]. RESULTS: Mean age was 38.3±10.0 years. Most women were mulatto, married/cohabitating, attended elementary school, financially dependent, had an income of up to five minimum wages, normal body mass index, up to three children and sexual activity. Almost 30% had abortions, 15.8%, physical abuse and 11%, sexual abuse. Previous surgeries were common. Most had normal bowel and bladder function. Pain lasted over 16 days/month; it worsened in perimenstrual period and started, on average, 6.7 years before. In over 70% of cases there was a coincident event with the onset of pain, and conflict and/or trauma were the most commonly reported. Physical examination and ultrasound were normal in most of these women. Adhesion and/or endometriosis were found in almost 2/3 of 41 laparoscopies performed. There was an average reduction of 39.2% of the pain scale (3.1/7.9) with various adopted treatments (drugs, psychotherapy and laparoscopy) p<0.001. History of sexual abuse and abortion was associated with less pain reduction. CONCLUSION: This study adds epidemiological and clinical information on women with chronic pelvic pain in Brazil. Clinical and psychotherapeutic treatments induced significant reduction of the pain scale between the first and last visit of patients. Laparoscopy did not potentiate the reduction of pain. Keywords: Epidemiology, Pelvic pain, Psychotherapy, Signs and symptoms, Therapeutics.Analysis of 230 women with chronic pelvic pain assisted at a public hospital* RESULTADOS:A média de idade das mulheres foi de 38,3±10,0 anos. A maioria das mulheres era parda, casada/amasiada, cursou ensino fundamental, dependente financeiramente, tinha renda de até cinco salários mínimos, índice de massa corpórea normal, até três filhos e atividade sexual ativa. Aborto ocorreu em 30%, abuso físico em 15,8% e abuso sexual em 11%. A maioria sofreu cirurgia prévia e possuía função intestinal e urinária normais. A dor permanecia por mais de 16 dias/mês, piorava no período perimenstrual e começou, em média, 6,7 anos antes. Em mais de 70% dos casos foi percebido um evento coincidente com o início da dor, sendo conflitos e/ou traumas os mais citados. Os exames físico e ultrassonográfico foram normais na grande maioria dessas mulheres. Aderências e/ou endometriose foram encontrados em quase 2/3 das 41 laparoscopias realizadas. Houve redução mé-dia de 39,2% da escala de dor (3,1/7,9) com as várias condutas adotadas (farmacológica, laparoscópica e psicoterápica) p<0,001. História de abuso sexual e de aborto provocado associou-se a menor redução da dor. CONCLUSÃO: Este estudo acrescenta informações epidemiológicas e clínicas sobre mulheres com dor pélvica crônica no Brasil. O...

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Section: Discussionmentioning

confidence: 99%

Analysis of 230 women with chronic pelvic pain assisted at a public hospital

Deus¹,

Santos²,

Bosquetti³

et al. 2014

Revista Dor

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“…Among middle-aged men, prostatitis/chronic pelvic pain syndrome (CP/CPPS) is the leading cause of urological counseling and outpatient clinic visits (1). As young and middleaged men are more likely to develop chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) the use of surgical procedures is not recommended (2). Therefore as a prostate cannot be operated and there are no drugs that can reach this organ easily, it is a common view that patients with CP/CPPS should get phenotype drive therapy (3).…”

Section: Introductionmentioning

confidence: 99%

New Independent Thermobalancing Treatment with Therapeutic Device for Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Allen

Aghajanyan

2017

Nephrourol Mon

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“…2 The negative psychological, behavioural, cognitive and sexual consequences of CPP have been acknowledged in the European Association of Urology (EAU) Guidelines 2013 definition of CPP and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012). 3,4 The guidelines place strong emphasis on the biopsychosocial consequences of CPP and the need for interdisciplinary and multidisciplinary care. This is also echoed by the British Pain Society (BPS) patient pathway map for CPP.…”

Section: Introductionmentioning

confidence: 99%

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Twiddy

Lane

Chawla

et al. 2015

British Journal of Pain

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Context/Background: Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition. European Association of Urology (EAU) Guidelines (2013) and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012) place strong emphasis upon multi-speciality assessment and liaison, as well as interdisciplinary assessment and intervention in reference to the management of CPP. Objectives: The aim was to introduce and describe the development and delivery of an interdisciplinary pain management programme (PMP), at a Specialised Pain Management Centre in Liverpool, United Kingdom, for women diagnosed with CPP. Method: The format and content of the CPP PMP at The Walton Centre, Liverpool, is described and the preliminary results from the CPP PMP are presented. Results: Preliminary data suggest that outcomes on the specialised CPP PMP indicate that patients are able to make clinically important change across a range of outcome measures. Moreover, these results compare favourably to the established PMP for generalised chronic pain when comparing clinically significant outcomes with the Walton Centre's (a tertiary-level pain management centre) 2013 PMP Audit document. Patients attending the CPP PMP positively appraised the PMP and felt it was useful and supportive to be in a group dedicated to CPP. Conclusions: This article presents some preliminary results that suggest there is value in delivering a specialised multidisciplinary PMP for this group. There is a clear need for further clinical research into the effectiveness of similar interventions for CPP, including the early identification of those CPP patients who may benefit from both multi-specialty and interdisciplinary management.

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The 2013 EAU Guidelines on Chronic Pelvic Pain: Is Management of Chronic Pelvic Pain a Habit, a Philosophy, or a Science? 10 Years of Development

Cited by 248 publications

References 49 publications

Analysis of 230 women with chronic pelvic pain assisted at a public hospital

Analysis of 230 women with chronic pelvic pain assisted at a public hospital

New Independent Thermobalancing Treatment with Therapeutic Device for Chronic Prostatitis/Chronic Pelvic Pain Syndrome

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

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