Clinical Utility of Pelvic Pain Mapping

In: The Journal of the American Association of Gynecologic Laparoscopists · 2001 · vol. 8(2) , pp. 263–266 · doi:10.1016/s1074-3804(05)60588-9 · PMID:11342735 · W2150947106
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This study investigated the clinical utility of pelvic pain mapping in identifying the source of chronic pelvic pain and its effectiveness in guiding treatment decisions for patients.

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Abstract

Study objectiveTo survey physicians' opinions concerning the impact of pelvic pain mapping on clinical management and surgical decisions.DesignOpinions of physicians based on clinical experience (Canadian Task Force classification III).SettingEvening meetings appended to two national meetings.Measurements and main resultsAfter viewing videotaped interviews, physical examinations, standard laparoscopy, and pelvic pain mapping at laparoscopy in two patients, practicing gynecologists completed questionnaires recording their opinions about the utility of pelvic pain mapping. A second group of gynecologists viewed only one tape. The first group considered pain mapping to be moderately or extremely useful (patient 1, 57.9%; patient 2, 73.7%). Mapping data either made surgeons change the surgical procedure they would have chosen or further clarified the diagnosis (patient 1, 68.4%; patient 2, 84.2%). Of the second group of 67 surgeons, 73% thought that mapping results would have made them change their surgical approach.ConclusionIn appropriate cases, pelvic pain mapping during microlaparoscopy under conscious sedation can provide information that may influence surgical decisions as well as general clinical management.

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