Chronic pelvic pain: from correct diagnosis to adequate therapy

S.A. Rachin, М. Н. Шаров, A.V. Zaitsev, A. M. Tynterova, M. V. Nuvakhova, Yu. S. Prokofyeva, R.R. Parsamyan, M. Yu. Maksimova, А.П. Рачин
In: Neurology, Neuropsychiatry, Psychosomatics · 2020 · vol. 12(2) , pp. 12–16 · doi:10.14412/2074-2711-2020-2-12-16 · W3016513903
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Chronic pelvic pain, a complex condition influenced by biological, psychological, and sociocultural factors, benefits from a multidisciplinary, personalized approach with patient involvement, including cognitive behavioral therapy as part of a comprehensive treatment program.

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

This paper reviews chronic pelvic pain (CPP) and argues for implementing a multidisciplinary, personalized pain-management strategy that includes active patient participation, with cognitive behavioral therapy (CBT) as a key component. It describes clinical and neurophysiological evidence for CBT effectiveness in people with CPP and reports that a combined CBT plus physical therapy protocol has been developed. The authors’ main caveat is that the proposed approach is framed as part of comprehensive management rather than a single intervention, implying the need for multidisciplinary integration. Relevance to endometriosis: although the paper focuses on chronic pelvic pain broadly (and does not specifically target endometriosis in the provided text), it is included in the corpus because it addresses CBT and multimodal therapy for chronic pelvic pain conditions that overlap clinically with endometriosis-associated pain.

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Abstract

Management of patients with chronic pelvic pain (CPP) is an actual interdisciplinary problem of modern clinical medicine. CPP is chronic or persistent pain lasting more than 6 months, which is located in the structures related to the male or female pelvis and is associated with negative cognitive, behavioral, and emotional consequences, as well as with lower urinary tract, bowel, and pelvic floor symptoms, and reproductive and sexual dysfunction. In accordance with the biopsychosocial model, CPP is the result of a dynamic interaction of biological, psychological and sociocultural factors. When diagnosing CPP, it is most acceptable to phenotype patients according to the UPOINTS classification. To implement the treatment strategy, it is necessary to adhere to a multidisciplinary personalized approach to pain management with active patient participation. Cognitive behavioral therapy (CBT) occupies an important place in the treatment of CPP. There is clinical and neurophysiological evidence of the efficiency of CBT in patients with CPP, a protocol has been developed for the combined use of CBT and physical therapy. CBT is recommended to be included in a comprehensive treatment and rehabilitation program for patients with CPP.
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Abstract

To implement the treatment strategy, it is necessary to adhere to a multidisciplinary personalized approach to pain management with active patient participation. Cognitive behavioral therapy (CBT) occupies an important place in the treatment of CPP. There is clinical and neurophysiological evidence of the efficiency of CBT in patients with CPP, a protocol has been developed for the combined use of CBT and physical therapy. CBT is recommended to be included in a comprehensive treatment and rehabilitation program for patients with CPP. About the Authors S. A. RachinRussian Federation 6-8, Lev Tolstoy St., Saint Petersburg 197022, Russia M. N. Sharov Russian Federation 20, Delegatskaya St., Build. 1, Moscow 127473, Russia A. V. Zaitsev Russian Federation 20, Delegatskaya St., Build. 1, Moscow 127473, Russia A. M. Tynterova Russian Federation 14, A. Nevsky St., Kaliningrad 236041, Russia M. V. Nuvakhova Russian Federation 32, Novyi Arbat St., Moscow 121099, Russia Yu. S. Prokofyeva Russian Federation 20, Delegatskaya St., Build. 1, Moscow 127473, Russia R. R. Parsamyan Russian Federation 112, Bolshaya Kazachiya St., Saratov 410012, Russia M. Yu. Maksimova Russian Federation 80, Volokolamskoe Shosse, Moscow 125367, Russia A. P. Rachin Russian Federation 32, Novyi Arbat St., Moscow 121099, Russia

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Eur Urol. 2005 Mar;47(3):403-8. doi: 10.1016/j.eururo.2004.09.003 Review For citations: Rachin SA, Sharov MN, Zaitsev AV, Tynterova AM, Nuvakhova MV, Prokofyeva YS, Parsamyan RR, Maksimova MY, Rachin AP. Chronic pelvic pain: from correct diagnosis to adequate therapy. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2020;12(2):12-16. (In Russ.) https://doi.org/10.14412/2074-2711-2020-2-12-16 JATS XML

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