Pelvic pain: A chronic visceral pain syndrome

In: Current Pain and Headache Reports · 2001 · vol. 5(1) , pp. 13–19 · doi:10.1007/s11916-001-0005-2 · PMID:11252133 · W2029653303
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AI-generated summary by claude@2026-06+body, 2026-06-28

This paper focuses on recognizing chronic pelvic pain as a visceral pain syndrome and outlines available treatment options, emphasizing a multidisciplinary approach for successful management.

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AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text

This article discusses chronic pelvic pain as a chronic visceral pain syndrome in patients whose pelvic examinations and work-ups are unrevealing and in whom no specific pain cause can be identified. It outlines management options, emphasizing symptomatic pain management and highlighting that a multidisciplinary pain approach can successfully treat many patients, while noting the inherent challenges in chronic pelvic pain care. A major limitation is that the piece is a narrative overview rather than a new empirical study, relying on previously described approaches and evidence. Relevance to endometriosis: the article cites a study of superior hypogastric plexus block outcomes specifically for chronic pelvic pain associated with endometriosis, though the paper’s main focus is chronic pelvic pain as a visceral pain syndrome across conditions.

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Abstract

Patients with chronic pelvic pain are usually evaluated and treated by gynecologists, gastroenterologists, urologists, and internists. In many patients with chronic pelvic pain the examination and work-up remain unrevealing and no specific cause of the pain can be identified. In these cases it is important to recognize that pain is not only a symptom of pelvic disease, but that the patient is suffering from a chronic pelvic pain syndrome. Once the diagnosis of chronic pelvic pain is made, treatment should be directed to symptomatic pain management. This article outlines treatment options currently available. Despite the challenge inherent in the management of chronic pelvic pain, many patients can be treated successfully using a multidisciplinary pain management approach. The first important step is to recognize that patients with chronic pelvic pain might suffer from a chronic visceral pain syndrome.
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Abstract

Patients with chronic pelvic pain are usually evaluated and treated by gynecologists, gastroenterologists, urologists, and internists. In many patients with chronic pelvic pain the examination and work-up remain unrevealing and no specific cause of the pain can be identified. In these cases it is important to recognize that pain is not only a symptom of pelvic disease, but that the patient is suffering from a chronic pelvic pain syndrome. Once the diagnosis of chronic pelvic pain is made, treatment should be directed to symptomatic pain management. This article outlines treatment options currently available. Despite the challenge inherent in the management of chronic pelvic pain, many patients can be treated successfully using a multidisciplinary pain management approach. The first important step is to recognize that patients with chronic pelvic pain might suffer from a chronic visceral pain syndrome. Similar content being viewed by others

References

and Recommended Reading Wesselmann U: Guest Editorial: Pain—the neglected aspect of visceral disease. Eur J Pain 1999, 3:189–191. This editorial highlights the importance of recognizing and treating chronic visceral pain syndromes. Wesselmann U: Management of chronic pelvic pain. In Evaluation and Treatment of Chronic Pain, edn 3. Edited by Aronoff GM. Baltimore: Williams and Wilkins; 1998:269–279. Merskey H, Bogduk N: Classification of Chronic Pain. Seattle: IASP Press; 1994. Campbell F, Collett BJ: Chronic pelvic pain. Brit J Anaesth 1994, 73:571–573. ACOG technical bulletin: Chronic pelvic pain, number 223—May 1996. Int J Gynecol Obstet 1996, 54:59–68. Recommendations of the American College of Obstetricians and Gynecologists for the treatment of chronic pelvic pain. Ryder RM: Chronic pelvic pain. Am Fam Physician 1996, 54:2225–2232. Mathias SD, Kuppermann M, Liberman RF, et al.: Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. 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Gybels JM: Commissural myelotomy revisited. Pain 1997, 70:1–2. Rosenthal RH: Psychology of chronic pelvic pain. Obstet Gynecol Clin North Am 1993, 20:627–642. Author information Authors and Affiliations Rights and permissions About this article Cite this article Wesselmann, U., Czakanski, P.P. Pelvic pain: A chronic visceral pain syndrome. Current Science Inc 5, 13–19 (2001). https://doi.org/10.1007/s11916-001-0005-2 Issue date: DOI: https://doi.org/10.1007/s11916-001-0005-2

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