Diagnostic Evaluation of Chronic Pelvic Pain

Gaurav Khatri, Ambereen Khan, Gargi Raval, Avneesh Chhabra
Physical medicine and rehabilitation clinics of North America · 2017 · vol. 28(3) , pp. 477–500 · doi:10.1016/j.pmr.2017.03.004 · PMID:28676360 · W2615388421
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This paper presents a diagnostic evaluation of chronic pelvic pain in women.

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Abstract

Chronic pelvic pain can result from various intra- and extra-pelvic etiologies. Although patient history and physical examination may narrow the differential diagnosis, frequently, the different etiologies have overlapping presentations. Imaging examinations such as US and/or MR imaging may help delineate the cause of pain, particularly when related to intra-pelvic organs, pelvic floor dysfunction or prolapse, synthetic material such as pelvic mesh or slings, and in some cases of neuropathic pain. Etiologies of neuropathic pain can also be assessed with non-imaging tests such as nerve conduction studies, electromyography, and testing of sacral reflexes.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Pelvic Pain Chronic Pain Chronic Pain Diagnosis, Differential Humans Pelvic Floor Pelvic Floor Pelvic Pain

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