Pain referral patterns in the pelvis

Non-randomised trial OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-21 ⓘ

This paper describes the typical patterns of pain referral from specific pelvic structures and their clinical implications.

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Abstract

STUDY OBJECTIVE: To determine if right-left pelvic pain orientation exists in all patients, and to estimate the frequency of pain referral patterns in the pelvis. DESIGN: Prospective, nonrandomized trial (Canadian Task Force classification II-1). SETTING: University-affiliated hospital. PATIENTS: One hundred consecutive women with no pain undergoing tubal sterilization or investigation of infertility (group A) were compared with 225 women with chronic pelvic pain of greater than 6 months' duration (group B). INTERVENTION: Patient-assisted laparoscopy with intravenous conscious sedation and pelvic pain mapping. MEASUREMENTS AND MAIN RESULTS: Of women in group A, 69% had correct right-left orientation, 18% had pain perceived on the opposite side of the abdomen, and 31% had pain referred to another location in the abdomen. The results were similar in women in group B, 65% of whom had correct orientation, 15% had pain perceived on the opposite side of the abdomen, and 35% had pain referred to another location. CONCLUSION: This demonstrates the need to ask on which side a woman feels pain during physical examination. It is not correct to assume that an answer of "yes" means the same side of the pelvis that is being examined. Patient-assisted laparoscopy and pelvic pain mapping are excellent in correlating the symptom with the pathology.

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MeSH descriptors

Pain Pelvis Female Humans Laparoscopy Laparoscopy Orientation Orientation Pain Procedural Sedation Prospective Studies

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Cited by (6)

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openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T20:59:21.759586+00:00
unpaywall
last seen: 2026-10-13T06:25:51.201866+00:00
License: CC0 · commercial use OK