Visual pain mapping in endometriosis

Renner, Stefan P.; Boosz, Alexander; Burghaus, Stefanie; Maihöfner, Christian; Beckmann, Matthias W.; Fasching, Peter A.; Jud, Sebastian M.

doi:10.1007/s00404-012-2369-4

Cited by 8 publications

(13 citation statements)

References 31 publications

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“…Evaluating the relationship between pain and endometriosis, however, is challenging given that pain is difficult to measure and the mechanism by which endometriosis causes pain is not well understood (American Society for Reproductive Medicine, 2014). While previous studies have provided important data on the incidence of pelvic pain and endometriosis (Cox et al, 2007;Kang et al, 2007;Ballard et al, 2010;Hsu et al, 2011;Renner et al, 2012), little research has been done to assess both the typology and topology of pelvic pain, and pain beyond the pelvis, and endometriosis diagnosis and severity using operative findings and a standardized classification system (American Society for Reproductive Medicine, 1997).…”

Section: Introductionmentioning

confidence: 99%

Pain typology and incident endometriosis

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Pain typology and incident endometriosis

et al. 2015

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“…In our study, endometriosis was confirmed in more than 80% of patients who underwent surgery. The extent of pain is not directly correlated with the location and extent of endometriosis 38 , 39 . Our data were unable to confirm an increase in rASRM scores for patients with significant clinical symptoms (data not shown).…”

Section: Discussionmentioning

confidence: 99%

“…Auch in der vorliegenden Studie konnte bei über 80% der operierten Patientinnen eine Endometriose nachgewiesen werden. Grundsätzlich korreliert die Ausprägung der Schmerzsymptomatik nicht direkt mit der Lokalisation und Ausdehnung der Endometriose 38 , 39 . Auch unsere Daten können eine Zunahme des rASRM Scores bei ausgeprägter klinischer Symptomatik nicht bestätigen (data not shown).…”

Section: Diskussionunclassified

Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis

Burghaus

Hildebrandt

Fahlbusch

et al. 2019

Geburtshilfe Frauenheilkd

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Endometriosis is one of the most common benign gynecological diseases. The extremely heterogeneous complex of symptoms complicates the diagnosis and treatment of this disease. In most patients, there is a latency period of several years between the first occurrence of symptoms and the definitive diagnosis. This paper aims (1) to evaluate standards for the diagnosis and treatment of patients with (symptoms suspicious for) endometriosis in terms of feasibility, and (2) to assess the potential use of data collected by a certified clinical and scientific endometriosis center to answer scientific questions. Standards for outpatient consultations were developed for a special endometriosis outpatient clinic. Between January 2014 and December 2017, a total of 1715 outpatients with a suspicion of endometriosis presented to this special endometriosis outpatient clinic; the diagnosis and treatment of patients was carried out in accordance with the developed standards. Data of this patient cohort obtained from patient records created during outpatient consultations and from a questionnaire recorded in an Oracle-based database was analyzed. The patient cohort was also compared with another patient cohort who had attended different outpatient clinics and had been diagnosed intraoperatively with endometriosis. 41.8% of patients examined during special outpatient consultations had surgery for suspicion or recurrence of endometriosis. Endometriosis was confirmed in 81.5% of cases. Pain symptoms were the main indication for surgery in 70.1% of cases compared to 45.1% of cases in the comparison group. The structured approach used in the special endometriosis outpatient clinic is a key aspect of the care provided by the certified clinical and scientific endometriosis center. It ensures that patients are diagnosed and treated in accordance with guideline recommendations, that diagnosis and treatment comply with certification requirements, and that the collected data can be used to answer scientific questions.

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“…Untersuchungen zeigen, dass präoperativ zwar anhand der Schmerzen eine Lokalisation der Endometriose-Läsionen möglich ist (Renner et al, 2012), dies jedoch keinen Aufschluss über die Art der Endometriose gibt.…”

Section: In Anderen Studien Wurden Patientinnen Mit Tiefinfiltrierendunclassified