PURPOSE Myofascial pain is a possible etiology for category III chronic prostatitis/chronic pelvic pain syndrome, either secondary to infection/inflammation or as the primary cause. We documented tenderness on physical examination in a large multicenter cohort of patients with chronic pelvic pain syndrome and compared to controls. MATERIALS AND METHODS Data were reviewed from the National Ins...

Chronic pelvic pain is one of the most challenging gynecologic problems seen in primary care practice. Important causes of this problem include endometriosis, pelvic adhesions, chronic pelvic inflammatory disease, and the syndrome of chronic pelvic pain without obvious pathology. The diagnostic approach to chronic pelvic pain begins with a careful medical history and physical examination in con...

Cancer Pain Chronic pelvic and urogenital pain is a common and debilitating problem that has a significant impact on the quality of life of patients. These types of pain are some of the most common presenting symptoms for primary care doctors and fall within the practice of most medical specialties, but particularly urology, gynecology, and gastroenterology. Many urological, gastrointestinal, a...

CONTEXT Until recently, the reproductive health agenda has focused on a restricted number of morbidity indicators, particularly those associated with life-threatening diseases. However, gynecologic morbidities that are a source of pelvic pain, although not life-threatening, do impose a substantial burden because of their potential to reduce women's overall well-being. METHODS In 2005, a cross...

Chronic pelvic pain is a common and significant disorder of women. Often the etiology of chronic pelvic pain is not clear. Chronic pelvic pain is a common problem and presents a major challenge to health care providers because of its unclear etiology, complex natural history, and poor response to therapy. Diagnostic laparoscopy is an important tool in the evaluation of women with chronic pelvic...

OBJECTIVE To determine if the history of cesarean section was associated with chronic pelvic pain, independent of the presence of other conditions such as pelvic adhesions, endometriosis, sequelae of pelvic inflammatory disease, leiomyoma and pelvic varices. METHODS Retrospective case-control study conducted on 199 patients consecutively admitted from January 1998 to January 2000, 116 of them...

Chronic pelvic pain is a challenging, often perplexing medical condition, affecting approximately 15% of women of reproductive age in the United States [1]. Chronic pelvic pain contributes significantly to health care costs, as it is the diagnosis that precedes up to 40% of diagnostic laparoscopies and 12% of hysterectomies [2]. With an estimated 20% of women with chronic pelvic pain seeking sp...

OBJECTIVES On behalf of the European Association of Urology (EAU) guidelines for diagnosis, therapy and follow-up of chronic pelvic pain patients were established. METHOD Guidelines were compiled by a working group and based on current literature following a systematic review using MEDLINE. References were weighted by the panel of experts. RESULTS The full text of the guidelines is availabl...

C hronic pelvic pain is defined in a variety of ways. a useful clinical definition of chronic pelvic pain is noncyclic pain that lasts six months or more; is localized to the pelvis, the anterior abdominal wall at or below the umbilicus, or the buttocks; and is of sufficient severity to cause functional disability or require medical care. other definitions do not require that the pain be noncyc...