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International Urogynecology Journal
Published in: International Urogynecology Journal 4/2011

01-04-2011 | Clinical Opinion

Chronic pelvic pain in urogynecological practice: a personal view

Author: Peter L. Dwyer

Published in: International Urogynecology Journal | Issue 4/2011

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Abstract

Women with chronic pelvic pain are frequently referred to gynaecologists as over 50% also have genitourinary or irritable bowel symptoms or both. When no specific pathology is found and the pathophysiology is unclear, the aetiology is probably an interplay of neuropathic, inflammatory and functional factors. The principles of medical and surgical treatment are discussed and should be based on evidence-based medicine.
Literature
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Zondervan KT, Yudkin PL, Vessey MP, Jenkinson CP, Dawes MG, Barlow DH, Kennedy SH (2001) Chronic pelvic pain in the community—symptoms, investigations, and diagnoses. Am J Obstet Gynecol 184:1149–1155PubMedCrossRef
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Groeneweg G, Huygen FJ, Coderre TJ, Zijlstra FJ (2009) Regulation of peripheral blood flow in complex regional pain syndrome: clinical implication for symptomatic relief and pain management. BMC Musculoskelet Disord 10:116PubMedCrossRef
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Rosamilia A, Cann L, Dwyer PL, Scurry J, Rogers P (1999) Bladder microvasculature in women with interstitial cystitis. J Urol 161:1865–1870PubMedCrossRef
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American Society of Anesthesiologists Task Force on Chronic Pain Management; American Society of Regional Anesthesia and Pain Medicine (2010) Practice guidelines for chronic pain management: an updated report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology 112(4):810–833CrossRef
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Metadata
Title
Chronic pelvic pain in urogynecological practice: a personal view
Author
Peter L. Dwyer
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1370-y

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