Hysterectomy for chronic pelvic pain of presumed uterine etiology.
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This study found that hysterectomy for chronic pelvic pain of presumed uterine origin resulted in significant improvement for 77.8% of women, while 22.2% experienced persistent pain.
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Abstract
This study evaluates the long-term outcome of 99 women who underwent hysterectomy for pelvic pain of at least 6 months' duration. All had symptoms and physical examination findings suggestive of disease confined to the uterus. Patients were excluded if there was previously documented extrauterine pelvic disease, extrauterine pelvic disease at the time of surgery, or uterine weight exceeding 200 g. Histopathologic analysis revealed leiomyomata in 12 (12.1%), adenomyosis in 20 (20.2%), and both leiomyomata and adenomyosis in two (2.02%). The average uterine weight was 91.1 g (range 24-198). Patients were followed after hysterectomy for an average of 21.6 months (range 15-64), with 77 of 99 (77.8%) showing significant improvement and 22 (22.2%) having persistent pelvic pain. Despite preoperative history and physical findings suggesting and histologic findings confirming uterine disease, nearly a quarter of the patients had persistent pelvic pain after hysterectomy for chronic pelvic pain. These findings should have a significant impact on the therapeutic choices recommended by gynecologists and may alter the informed consent that patients give in such cases.
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- Incidence of self-reported pelvic pain and risk factors for pain 1 year after benign hysterectomy: A register study from the Swedish National Quality Registry for Gynecological Surgery 2022
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- Incidence and predictors of persistent pelvic pain following hysterectomy in women with chronic pelvic pain 2021
- Impact of hysterectomy on analgesic, psychoactive and neuroactive drug use in women with endometriosis: nationwide cohort study 2020
- Pelvic Pain: Clinical Features 2019
- RETIRED: No. 109-Hysterectomy 2018
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- Hospital-associated Costs of Chronic Pelvic Pain in Canada: A Population-based Descriptive Study 2017
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- Comparative Analyses of Pain, Depressed Mood and Sleep Disturbance Symptoms in Women before and after Hysterectomy 2015
- Approaches to Hysterectomy 2015
- Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition 2015
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- Does the Uterine Cervix Become Abnormally Reinnervated After Subtotal Hysterectomy and What Is the Association With Future Trachelectomy? 2014
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- Adenomiose em pacientes com endometriose profunda: aspectos clínicos, histológicos e radiológicos 2010
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- The relationship between interstitial cystitis and endometriosis in patients with chronic pelvic pain. 2007
- Laparoscopic findings, histopathologic evaluation, and clinical outcomes in women with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy 2006
- Changes and Factors Influencing Health-related Quality of Life After Hysterectomy in Premenopausal Women with Benign Gynecologic Conditions 2006
- Adenomyosis: Not such an elusive diagnosis any longer 2006
- Chronic pelvic pain: Aetiology and therapy 2006
- Chronic pelvic pain: the occurrence of interstitial cystitis in a gynecological population. 2006
- Consensus Guidelines for the Management of Chronic Pelvic Pain 2005
- Chronic Pelvic Pain in Women: Evaluation and Management in Primary Care 2005
- RETIRED: Directive clinique de consensus pour la prise en charge de la douleur pelvienne chronique 2005
- Hysterectomy: effects on quality of life and psychological aspects 2005
- Interstitial cystitis in persistent posthysterectomy chronic pelvic pain. 2005
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