Chronic Pelvic Pain: How Many Surgeries Are Enough?

Butrick CW, Charles W Butrick
Clinical obstetrics and gynecology · 2007 · vol. 50(2) , pp. 412–424 · doi:10.1097/grf.0b013e31804b195f · PMID:17513927 · W2005372860
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Treating chronic pelvic pain as a complex disease with an integrated approach that identifies and addresses all pain generators offers the most promise for successful outcomes.

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Abstract

The key to treatment of chronic pelvic pain is to treat it as the complex disease it is. Evidence is reviewed showing that identifying one aspect of the disease such as endometriosis or adhesions then treating only that component is not likely to be successful. Given our understanding of the neuropathology of chronic pelvic pain this failure of traditional therapy is to be expected. This evidence is reviewed and supports that an integrated treatment approach holds the most promise for a successful outcome. The goal of chronic pelvic pain management is for the clinician to identify every pain generator and treat each one.
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Current Controversies in Gynecology Chronic Pelvic Pain: How Many Surgeries Are Enough? - CHARLES W. BUTRICK The key to treatment of chronic pelvic pain is to treat it as the complex disease it is. Evidence is reviewed showing that identifying one aspect of the disease such as endometriosis or adhesions then treating only that component is not likely to be successful. Given our understanding of the neuropathology of chronic pelvic pain this failure of traditional therapy is to be expected. This evidence is reviewed and supports that an integrated treatment approach holds the most promise for a successful outcome. The goal of chronic pelvic pain management is for the clinician to identify every pain generator and treat each one. Copyright © 2007 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Pelvic Pain Pelvic Pain Chronic Disease Combined Modality Therapy Endometriosis Endometriosis Endometriosis Female Humans Nervous System Diseases Nervous System Diseases Nervous System Diseases Nervous System Diseases Pelvic Pain Treatment Outcome

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