Chronic Pelvic Pain Syndrome-Related Diagnoses in an Outpatient Office Setting

Bradford W. Fenton, L. Brobeck, E. Witten, V. Von Gruenigen
In: Gynecologic and Obstetric Investigation · 2012 · vol. 74(1) , pp. 64–67 · doi:10.1159/000336768 · PMID:22571935 · W2069429922
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Abstract

BACKGROUND: Chronic pelvic pain (CPP) is a syndrome composed of one or more pain diagnoses arising from pelvic organs. Although the prevalence of many individual diagnoses has been determined in a variety of settings, the concurrent assessment of overlapping pain syndromes in an outpatient gynecology clinic, which would be most pertinent to practitioners, has not been reported. METHODS: Patients waiting to be seen in an outpatient general gynecology clinic completed a survey composed of validated instruments for different pain diagnoses. Cyclic and constant CPP, irritable bowel syndrome (IBS), interstitial cystitis (IC), and vulvodynia (VVD) were assessed. RESULTS: In the 498 completed surveys, 24% of patients met at least one criterion for CPP, and of these, 23% also met criteria for a second diagnosis. Of all patients, 15% reported symptoms consistent with IBS, 6% with IC, and 5% with VVD. Cyclic CPP was found in 20%, and of these patients, 30% had at least one other CPP-related diagnosis. DISCUSSION: Although limited by its design as a survey, this study demonstrates that CPP frequently (between 30 and 43%) occurs with other pain syndromes. Clinicians should be prepared to evaluate nongynecologic causes of pelvic pain.

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chronic_pelvic_paininterstitial_cystitisirritable_bowel_syndrome

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