Pelvic pain: a pathway for care developed for both men and women by the British Pain Society

A. Baranowski, A. P. Baranowski, J. Lee, C. Price, J. Hughes, John Hughes
British journal of anaesthesia · 2014 · vol. 112(3) , pp. 452–459 · doi:10.1093/bja/aet421 · PMID:24394942 · W2146205177
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This paper describes a care pathway for pelvic pain developed by the British Pain Society for both male and female patients.

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Abstract

This paper aims to explain the key points and highlight some of the controversies in the development of the British Pain Society's pelvic pain patient pathway map. Many clinicians lack experience and confidence with this group of patients, and this issue is highlighted. Additionally, the difficulties of classification and definitions in this area are discussed in detail. These are historical causes of disagreement among specialists which can lead to confused clinical care. This group of patients have multiple issues that cross many professional boundaries; they are best managed by the co-ordinated involvement of multiple teams. Patients suffer from significant distress and disability that often needs specialist assessment and intervention (interdisciplinary). This suggests that an integrated approach is required across the historic boundaries of primary and secondary care. A variety of interventions, including opioids and neuromodulation are recommended in the pathway and the controversies surrounding these inclusions are aired in detail.

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MeSH descriptors

Clinical Protocols Pelvic Pain Analgesics, Opioid Analgesics, Opioid Behavior Behavior Chronic Disease Female Humans Incidence Male Pain Measurement Patient Care Patient Education as Topic Pelvic Pain Pelvic Pain Physical Therapy Modalities Prevalence Primary Health Care Secondary Health Care

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