Urinary symptoms and Micromotions of bladder wall in chronic pelvic pain (CPP)

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This 1998 thesis by A.C. Drogendijk investigates the prevalence of urinary symptoms and bladder wall micromotions in women suffering from chronic pelvic pain (CPP). The study notes that approximately 37% of CPP patients experience urinary urgency despite normal urological examinations, and highlights that the condition affects a significant proportion of women aged 50 and older. The research addresses the clinical intersection between gynecological pain syndromes and lower urinary tract dysfunction in a cohort presenting with unexplained lower abdominal pain lasting at least six months. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Chronic lower abdominal pain of unknown origin in women has intrigued many \ninvestigators. It is the gynecologist in particular to whom patients with this \nsyndrome address for relief. AB a matter of fact not less than approximately \n10% of patients visiting gynaecologists do so in cOlmection with CPP (I). \nChronic pelvic pain (CPP) is defined as a more or less continuous pain in the \nlower abdomen of unknown cause that has lasted for at least 6 months (2-5). \nDeep dyspareunia and radiation of pain to the lower back may also be present. \nApproximately 37% of women with CPP furthennore have urinary urgency \nalthough the results of urological exatninations are nonnal (see section II) (6). \nAlthough most studies on CPP have been carried out on women of feltile age, \nthere are indications that this syndrome is not specifically reslIicted to patients \nin that age group. In a SlIldy involving 60 consecutive cases of CPP of all ages, \n43% of the women hmled out to be 50 years or older (mean: 48; median: 48; \nrange: 23-79 years) (see section II) (6,7). \nDifferent concepts about the origin of CPP have resulted in a wide variety of \nnatnes given to tllis clinical feahrre (8), dependent on the diagnostic approach \nof the physician consulted by the patient (9)
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1998-05-13 Urinary symptoms and Micromotions of bladder wall in chronic pelvic pain (CPP) Publication Publication Urinewegverschijnselen en Microbewegingen van de blaaswand bij chronische pelviene pijn (CPP) Chronic lower abdominal pain of unknown origin in women has intrigued many investigators. It is the gynecologist in particular to whom patients with this syndrome address for relief. AB a matter of fact not less than approximately 10% of patients visiting gynaecologists do so in cOlmection with CPP (I). Chronic pelvic pain (CPP) is defined as a more or less continuous pain in the lower abdomen of unknown cause that has lasted for at least 6 months (2-5). Deep dyspareunia and radiation of pain to the lower back may also be present. Approximately 37% of women with CPP furthennore have urinary urgency although the results of urological exatninations are nonnal (see section II) (6). Although most studies on CPP have been carried out on women of feltile age, there are indications that this syndrome is not specifically reslIicted to patients in that age group. In a SlIldy involving 60 consecutive cases of CPP of all ages, 43% of the women hmled out to be 50 years or older (mean: 48; median: 48; range: 23-79 years) (see section II) (6,7). Different concepts about the origin of CPP have resulted in a wide variety of natnes given to tllis clinical feahrre (8), dependent on the diagnostic approach of the physician consulted by the patient (9) | Additional Metadata | | |---|---| | , , , , | | | A.C. Drogendijk | | | Erasmus University Rotterdam | | | hdl.handle.net/1765/17611 | | | Organisation | Erasmus MC: University Medical Center Rotterdam | | van Os-Bossagh, P. (1998). Urinary symptoms and Micromotions of bladder wall in chronic pelvic pain (CPP).http://hdl.handle.net/1765/17611 |

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chronic_pelvic_paindyspareunia

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