Chronic pelvic pain probably is a symptom most frequently complained of by women to a gynecologist.  Too frequently this leads to a laparatomy from whkh either no benefit is derived, or the pain is actually made worse.  The purpose of thls paper is to reevaluate the cause and etiology of chronic pelivc pain, not only to save unnecessary and expensive surgery, but most effectively to rid the p...

OBJECTIVE To determine the prevalence of interstitial cystitis and endometriosis in patients with chronic pelvic pain. METHODS A prospective analysis was conducted in 178 women with CPP who presented with bladder base/anterior vaginal wall and/or uterine tenderness, with or without irritative voiding symptoms. The Potassium Sensitivity Test was used to assess bladder epithelial dysfunction. P...

Painful bladder syndrome or urologic chronic pelvic pain syndrome is a chronic condition that presents with lower urinary tract symptoms that include dysuria, urgency, frequent urination, and chronic pelvic pain. Diagnoses included in the painful bladder syndrome are interstitial cystitis and prostatodynia. The history, physical examination, and laboratory evaluation of patients with lower urin...

Because the aetiology of chronic pelvic pain is complex, studies of the condition involve extensive investigation but provide few conclusions. Numerous studies have addressed the experiences of women with chronic pelvic pain, as well as the interaction between those women and their health care providers. Our objective was to investigate how physicians at a specialized clinic perceive the medica...

CONTEXT Chronic pelvic pain is a common condition with a major effect on health-related quality of life, work productivity, and health care use. Operative interruption of nerve trunks in the uterosacral ligaments by laparoscopic uterosacral nerve ablation (LUNA) is a treatment option for patients with chronic pelvic pain. OBJECTIVE To assess the effectiveness of LUNA in patients with chronic ...

Background and Objective Botulinum neurotoxin (BoNT), now commonly used for reducing muscular spasms in other neuromuscular disorders, is now increasingly proposed also for treating pelvic floor disorders, including chronic pelvic pain syndromes, vaginismus, vulvodynia and vulvar vestibulitis syndrome. To provide up-to-date information on these advances we reviewed the literature about Bunt inj...

PURPOSE We determined whether chronic testicular pain is related to pelvic floor overactivity after ruling out other disease pathology. MATERIALS AND METHODS A total of 41 patients with chronic testicular pain evaluated at our Pelvic Floor Department at a tertiary academic center were included in this retrospective study. All patients underwent standard pelvic floor investigation, including h...

1. Methods 2. Definition 2.1Preface 2.2Definition 3. Codes 4. Epidemiology 5. Pathophysiology 6. Causes and findings 6.1Risk factors 6.2Overview 6.3Gynaecological causes and findings 6.4Other somatic causes 6.5Psychosocial causes 7. Diagnosis 7.1Preface 7.2Basic gynaecological diagnosis 7.3 Invasive diagnosis 7.4Diagnostic imaging 8. Therapy 8.1Basic psychosomatic care 8.2Psychotherapeutic conc...

Chronic pelvic pain is defined as the presence of pain in the pelvic girdle region for over a 6-month period and can arise from the gynecologic, urologic, gastrointestinal, and musculoskeletal systems. As 15% of women experience pelvic pain at some time in their lives with yearly direct medical costs estimated at $2.8 billion, effective evaluation and management strategies of this condition are...