Chronic Pelvic Pain

In: Ambulatory Gynecology · 2018 · pp. 91–109 · doi:10.1007/978-1-4939-7641-6_6 · W2802609772
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Chronic pelvic pain evaluation requires understanding interactions between pelvic organs, psychosocial factors, and musculoskeletal structures, with treatment ideally involving a multidisciplinary approach and surgery for structural issues.

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This Springer chapter reviews the evaluation and management of chronic pelvic pain, emphasizing interactions among reproductive, genitourinary, gastrointestinal, psychosocial, and musculoskeletal contributors, and describing a multidisciplinary approach that may include behavioral and physical therapy as well as medical therapy. It also notes that surgical approaches can be indicated for structural causes, specifically listing endometriosis, uterine leiomyoma, and adenomyosis. A key caveat is that the chapter frames care as individualized and multidisciplinary, without providing a single pooled estimate of effectiveness for any one intervention. Relevance to endometriosis: the chapter explicitly names endometriosis as a structural growth for which surgical approaches may be indicated, though its main focus is broad evaluation and multidisciplinary management of chronic pelvic pain.

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Abstract

The evaluation of chronic pelvic pain (CPP) can be challenging for many clinicians and requires an understanding of the interactions between organs of the pelvis, including reproductive, genitourinary, and gastrointestinal as well as psychosocial components associated with chronic pain disorders. It is also important to recognize the role that musculoskeletal structures in the pelvis can contribute to CPP. Treatment should be individualized with best results achieved with a multidisciplinary approach involving behavior and physical therapists and medical therapy. Surgical approaches to CPP can be indicated, especially for structural growths such as endometriosis, uterine leiomyoma, and adenomyosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer Science+Business Media, LLC, part of Springer Nature About this chapter Cite this chapter Summers, S.L. (2018). Chronic Pelvic Pain. In: Knaus, J., Jachtorowycz, M., Adajar, A., Tam, T. (eds) Ambulatory Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7641-6_6 Download citation DOI: https://doi.org/10.1007/978-1-4939-7641-6_6 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4939-7639-3 Online ISBN: 978-1-4939-7641-6 eBook Packages: MedicineMedicine (R0)

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