{"paper_id":"e7c251e3-c9f1-4996-995c-8109577a745d","body_text":"Management of Chronic Pelvic Pain\nBuy print or eBook\n[Opens in a new window] A Practical Manual\n- Management of Chronic Pelvic Pain\n- Management of Chronic Pelvic Pain\n- Copyright page\n- Contents\n- Contributors\n- Foreword\n- Chapter 1 Introduction to Chronic Pelvic Pain\n- Chapter 2 Neurobiological Basis of Pelvic Pain\n- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain\n- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain\n- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain\n- Chapter 6 Pharmacological Management of Patients with Pelvic Pain\n- Chapter 7 Evidence for Surgery for Pelvic Pain\n- Chapter 8 Pelvic Pain Arising from Endometriosis\n- Chapter 9 Bladder Pain Syndrome\n- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome\n- Chapter 11 Irritable Bowel Syndrome\n- Chapter 12 Vulvodynia\n- Chapter 13 Pelvic Pain Arising from Adhesive Disease\n- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome\n- Chapter 15 Pudendal Neuralgia\n- Chapter 16 Other Peripheral Pelvic Neuralgias\n- Chapter 17 Chronic Pain After Gynecological Surgery\n- Chapter 18 Pain Arising from Pelvic Mesh Implants\n- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain\n- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain\n- Chapter 21 If Everything Else Fails\n- Index\n- References\nPublished online by Cambridge University Press: 08 March 2021\nEdited by\nBook contents\n- Management of Chronic Pelvic Pain\n- Management of Chronic Pelvic Pain\n- Copyright page\n- Contents\n- Contributors\n- Foreword\n- Chapter 1 Introduction to Chronic Pelvic Pain\n- Chapter 2 Neurobiological Basis of Pelvic Pain\n- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain\n- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain\n- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain\n- Chapter 6 Pharmacological Management of Patients with Pelvic Pain\n- Chapter 7 Evidence for Surgery for Pelvic Pain\n- Chapter 8 Pelvic Pain Arising from Endometriosis\n- Chapter 9 Bladder Pain Syndrome\n- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome\n- Chapter 11 Irritable Bowel Syndrome\n- Chapter 12 Vulvodynia\n- Chapter 13 Pelvic Pain Arising from Adhesive Disease\n- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome\n- Chapter 15 Pudendal Neuralgia\n- Chapter 16 Other Peripheral Pelvic Neuralgias\n- Chapter 17 Chronic Pain After Gynecological Surgery\n- Chapter 18 Pain Arising from Pelvic Mesh Implants\n- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain\n- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain\n- Chapter 21 If Everything Else Fails\n- Index\n- References\nEndometriosis is the most common gynecological condition leading to pelvic pain and often it is the only one recognized by gynecologists. In many cases it coexists with pelvic floor muscle spasm, interstitial cystitis/bladder pain syndrome and irritable bowel syndrome and often all four are called “evil quadruplets.” Endometriosis can be diagnosed only surgically, and pathology confirmed tissue biopsy is by far the most accurate way of diagnosis. Unfortunately, all medical treatments of endometriosis are quite inadequate because they all rely on causing a hypoestrogenic state that only provides temporary relief of pain, and soon after medication is discontinued, symptoms return. Development of drugs addressing the cause of the disease is currently not possible because the cause of the disease is known. Multiple existing theories fail to explain all the cases, leading to the possibility that different etiologies may lead to a presence of endometrial glands and stroma in the peritoneal cavity and outside. Surgical resection of endometriosis in skilled hands is effective but patients need to be warned that disease will most likely return within a few years of initial surgery. Deep infiltrating endometriosis requires a very knowledgeable surgeon and often specialized center for treatment. Additional procedures such as presacral neurectomy, although controversial and potentially risky, may alleviate dysmenorrhea symptoms in some patients. Meticulous removal of ovarian endometriomas is a must in all infertility patients and most pelvic pain patients as simple drainage will result in almost immediate return of endometrioma.\n- Type\n- Chapter\n- Information\n- Management of Chronic Pelvic PainA Practical Manual, pp. 85 - 97Publisher: Cambridge University PressPrint publication year: 2021\nCarter, JE. Laparoscopic treatment for chronic pelvic pain: results from three-year follow-up. J Am Assoc Gynecol Laparosc. 1994;1(4, Part 2):S6–7.Google Scholar\nEskenazi, B, Warner, ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):235–58.Google Scholar\nWalter, AJ, Hentz, JG, Magtibay, PM, Cornella, JL, Magrina, JF. Endometriosis: correlation between histologic and visual findings at laparoscopy. Am J Obstet Gynecol. 2001;184(7):1407–11; discussion 1411–13.CrossRefGoogle ScholarPubMed\nHealey, M, Cheng, C, Kaur, H. To excise or ablate endometriosis? A prospective randomized double-blinded trial after 5-year follow-up. J Minim Invasive Gynecol. 2014;21(6):999–1004.Google Scholar\nJenkins, S, Olive, DL, Haney, AF. Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol. 1986;67(3):335–8.Google Scholar\nVercellini, P, Aimi, G, De Giorgi, O, Maddalena, S, Carinelli, S, Crosignani, PG. Is cystic ovarian endometriosis an asymmetric disease? Br J Obstet Gynaecol. 1998;105(9),1018–21.CrossRefGoogle ScholarPubMed\nHughesdon, PE. The structure of endometrial cysts of the ovary. J Obstet Gynaecol Br Emp. 1957;64(4):481–7.Google Scholar\nKavallaris, A, Köhler, C, Kühne‐Heid, R, Schneider, A. Histopathological extent of rectal invasion by rectovaginal endometriosis. Hum Reprod. 2003;18(6):1323–7.CrossRefGoogle ScholarPubMed\nvan Kaam, KJ, Schouten, JP, Nap, AW, Dunselman, GA, Groothuis, PG. Fibromuscular differentiation in deeply infiltrating endometriosis is a reaction of resident fibroblasts to the presence of ectopic endometrium. Hum Reprod. 2008;23(12):2692–700.CrossRefGoogle Scholar\nDonnez, J, Squifflet, J. Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum Reprod. 2010; 25(8):1949–58.CrossRefGoogle Scholar\nCornillie, FJ, Oosterlynck, D, Lauweryns, JM, Koninckx, PR. Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril. 1990 ;53(6):978–83.CrossRefGoogle ScholarPubMed\nAbrao, MS1, Gonçalves, MO, Dias, JA Jr, Podgaec, S, Chamie, LP, Blasbalg, R. Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis. Hum Reprod. 2007;22(12):3092–7. Epub 2007 Oct 18.CrossRefGoogle ScholarPubMed\nLaufer, MR, Goitein, L, Bush, M, Cramer, DW, Emans, SJ. Prevalence of endometriosis in adolescent women with chronic pelvic pain not responding to conventional therapy. J Pediatr Adolesc Gynecol. 1997;10:199–202.Google Scholar\nHottat, N, Larrousse, C, Anaf, V, et al. Endometriosis: contribution of 3.0-T pelvic MR imaging in preoperative assessment-initial results. Radiology. 2009;253:126–34.CrossRefGoogle Scholar\nNezhat, C, Kho, KA, Morozov, V. Use of neutral argon plasma in the laparoscopic treatment of endometriosis. JSLS. 2009;13(4):479–83.CrossRefGoogle ScholarPubMed\nCarneiro, MM, Filogônio, ID, Costa, LM, de Ávila, I, Ferreira, MC. Clinical prediction of deeply infiltrating endometriosis before surgery: Is it feasible? A review of the literature. Biomed Res Int. 2013;2013:564153.Google ScholarPubMed\nTurocy, J, Benacerraf, B. Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: a review. J Clin Ultrasound. 2017; 45(6):313–18.CrossRefGoogle ScholarPubMed\nBaranov, V, Malysheva, O, Yarmolinskaya, M. Pathogenomics of endometriosis development. Int J Mol Sci. 2018;19(7).Google Scholar\nDuffy, J, Arambage, K, Correa, F, et al. Laparoscopic surgery for endometriosis. Cochrane Database Syst Rev. 2014;(4).Google Scholar\nSeracchioli, R, Mabrouk, M, Frascà, C, Manuzzi, L, Montanari, G, Keramyda, A, Venturoli, S. Long-term cyclic and continuous oral contraceptive therapy and endometrioma recurrence: a randomized controlled trial. Fertil Steril. 2010;93(1):52–6.Google Scholar\nDunselman, GA, Vermeulen, N, Becker, C, Calhaz-Jorge, C, D’Hooghe, T, De Bie, B, ; European Society of Human Reproduction and Embryology. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400–12.CrossRefGoogle ScholarPubMed\nMoulder, JK, Siedhoff, MT, Melvin, KL, Jarvis, EG, Hobbs, KA, Garrett, J.I. Risk of appendiceal endometriosis among women with deep-infiltrating endometriosis. nt J Gynaecol Obstet. 2017;139(2):149–54.Google ScholarPubMed\nKnabben, L, Imboden, S, Fellmann, B, Nirgianakis, K, Kuhn, A, Mueller, MD. Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification. Fertil Steril. 2015;103(1):147–52.CrossRefGoogle ScholarPubMed\nMaccagnano, C, Pellucchi, F, Rocchini, L, et al. Ureteral endometriosis: proposal for a diagnostic and therapeutic algorithm with a review of the literature. Urol Int. 2013;91:1–9.CrossRefGoogle ScholarPubMed\nYildirim, D, Tatar, C, Doğan, O, et al. Post cesarean scar endometriosis. Turk J Obstet Gynecol. 2018;15:33–8.Google Scholar\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. 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