Chronic pelvic pain and related disorders.

Background and Aims: Chronic pelvic pain is described as continuous or intermittent pain in lower abdomen with duration of 3 to 6 months. Pain leads to patients’ functional disability and long-lasting treatment. Even careful examination doesn’t help to find the cause of pain.Methods: The retrospective study approved by the Ethics Committee of Riga 1st Hospital. 40 medical cards have been included in the study. All patients visit a pain specialist complaining about chronic pelvic pain.Results: The study includes 40 patients medical histories, 24 women (60%) and 16 men (40%) respectively, p=0.268. The average age 38 y.o. The duration of pain varies from 3 to 240 months. Somatoform autonomic dysfunction is diagnosed more often in 12 patients (30%). 11 patients (27%) have the diagnose of low back pain, 7 (17.5%) – irritable bowel syndrome, adenomyosis, diverticulosis, hemorrhoidal disease and chronic prostatitis. 6 patients (15%) suffer from depression. Pelvic surgery, endometriosis, unspecified colitis,interstitial cystitis was diagnosed in 5 patients (12.5%). 4 patients (10%) have ovarian dysfunction and adhesion disease, 3 (7.5%) – pilonidal cyst, 2 (5%) – prolapse or tumor of lesser pelvic organs, urogenital infection and chronic appendicitis. 1 (2.5%) patient has kidney leiomioma, Chron’s disease and pelviscongestion disease. Most patients 10 (25%) have one diagnose. 9 (22.5%) patients have 3 diagnosis at once. 3 patients (7.5%) have 7 diagnosis that might cause chronic pelvic pain.Conclusions: Chronic pelvic pain is a multidisciplinary problem, 75% of patients have diagnosed more than one disease that may cause chronic pelvic pain.