{"paper_id":"289441d1-5b86-429c-9415-f1ab0c651381","body_text":"Abstract\nChronic pelvic pain presents a unique diagnostic and treatment challenge for the pain physician given the variable presentations and complex anatomy of pain transmission. Despite resolution of the underlying pathology, pain can persist and can remain. Understanding the anatomy of the pelvis can aid the physician in guiding treatment, especially interventional, as many blocks can be performed in the pelvis depending on the anatomical structures involved and the pattern of pain at presentation.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nStandring S, editor in chief. Gray’s anatomy: the anatomical basis of clinical practice. 39th ed. Elsevier; 2004. ISBN 978-0-443-06676-4.\nSchenken RS. Endometriosis: pathogenesis, clinical features, and diagnosis. In: Barbieri RL, editor. UpToDate. Waltham, MA: UpToDate; 2020.\nPenner RM, Fishman MB. Evaluation of the adult with abdominal pain. In: Auerbach AD, Aronson MD, editors. UpToDate. Waltham, MA: UpToDate; 2020.\nGritsenko K, Cohen MS. Pelvic pain. In: Benzon HT, et al., editors. Essentials of pain medicine. Elsevier; 2018.\nClemens JQ. Interstitial cystitis/bladder pain syndrome: clinical features and diagnosis. In: O’Leary MP, editor. UpToDate. Waltham, MA: UpToDate; 2020.\nKho RM, Abrao MS. Ovarian remnant syndrome. In: Sharp HT, editor. UpToDate. Waltham, MA: UpToDate; 2020.\nDoroshenko M, Turkot O, Horn DB. Sympathetic nerve block. [Updated 23 May 2020]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2020. https://www.ncbi.nlm.nih.gov/books/NBK557637/.\nSuperior hypogastric block and neurolysis. In: Rathmell JP. Atlas of image-guided intervention in regional anesthesia and pain medicine. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2012.\nOrigoni M, Leone Roberti Maggiore U, Salvatore S, Candiani M. Neurobiological mechanisms of pelvic pain. Biomed Res Int. 2014;2014:903848. https://doi.org/10.1155/2014/903848.\nWesselmann U. Chronic pelvic pain. In: Turk DC, Melzack R, editors. Handbook of pain assessment. 2nd ed. New York: Guilford Press; 2001. p. 567–78.\nHornstein MD, Gibbons WE. Endometriosis: long-term treatment with gonadotropin-releasing hormone agonist. In: Barbieri RL, editor. UpToDate. Waltham, MA: UpToDate; 2020.\nGuzick DS, Huang LS, Broadman BA, et al. Randomized trial of leuprolide versus continuous oral contraceptives in the treatment of endometriosis-associated pelvic pain. Fertil Steril. 2011;95:1568–73.\nZullo F, Palomba S, Zupi E, et al. Long-term effectiveness of presacral neurectomy for the treatment of severe dysmenorrhea due to endometriosis. J Am Assoc Gynecol Laparosc. 2004;11:23–8.\nLabat JJ, Riant T, Robert R, et al. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn. 2008;27:306–10.\nRainville P, Duncan GH, Price DD, et al. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science. 1997;277:968–71.\nHanno PM, Burks DA, Clemens JQ, et al. AUA guideline for the diagnosis and treatment of interstitial cystitis/bladder pain syndrome. J Urol. 2011;185:2162–70.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nCopyright information\n© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG\nAbout this chapter\nCite this chapter\nSuer, M., Sehgal, N. (2021). Pelvic Pain. In: Questions and Answers in Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-68204-0_15\nDownload citation\nDOI: https://doi.org/10.1007/978-3-030-68204-0_15\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-030-68203-3\nOnline ISBN: 978-3-030-68204-0\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}