Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy

Demco L, Lawrence Demco, L Demco
The Journal of the American Association of Gynecologic Laparoscopists · 1998 · vol. 5(3) , pp. 241–245 · doi:10.1016/s1074-3804(98)80026-1 · PMID:9668144 · W2035166543
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This study investigated the origin and nature of endometriosis-related pain using patient-assisted laparoscopy.

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Abstract

STUDY OBJECTIVE: To determine by patient-assisted laparoscopy (PAL) the relationship of lesions of endometriosis to pelvic pain. DESIGN: Prospective non-randomized study (Canadian Task Force classification II-1). SETTING: University based facility. PATIENTS: Fifty women with endometriosis. INTERVENTION: Lesions of endometriosis were examined as to color and size, and these areas were mapped for pain. MEASUREMENTS AND MAIN RESULTS: Lesions in all categories of colors and shapes were palpated. In lesions that did provoke a pain response, red and vascular lesions were most painful, followed by clear and white scar lesions. Least painful were black lesions. Pain extended beyond lesions to normal-looking peritoneum for up to 27 mm, but was not consistent with respect to type of lesion. CONCLUSION: Pain of endometriosis has little relationship to location or color of lesions. It can extend beyond visible lesions to normal peritoneum. Input from patients by PAL may be essential to achieve successful therapy and eliminate excessive surgery and risk.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Pain Measurement Pelvic Pain Adolescent Adolescent Adult Adult Color Color Endometriosis Endometriosis Endometriosis Female Female Humans Humans Middle Aged Middle Aged

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (50)

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License: CC0 · commercial use OK