Interventional Pain Management and Female Pelvic Pain: Considerations for Diagnosis and Treatment

Sadie Smith, Jill Eckert
In: Seminars in Reproductive Medicine · 2018 · vol. 36(02) , pp. 159–163 · doi:10.1055/s-0038-1676104 · PMID:30566982 · W2904015119
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This review discusses the etiologies and interventional treatment options for chronic pelvic pain, a complex condition often requiring a multi-modal approach.

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Abstract

Chronic pelvic pain (CPP) is a recurring and/or constant pain of at least six months duration that has resulted in either functional or psychological disability that can require interventional treatments. Chronic pelvic pain can be visceral, somatic, neuropathic, or a combination. Patients with CPP often suffer from concurrent bowel or bladder dysfunction, sexual dysfunction, depression, and anxiety. The complexity of chronic pelvic pain can be challenging to treat, which can lead to frustration for both patients and their physicians. Treatment should involve a comprehensive and multi-modal approach involving psychosocial support, counseling, physical therapy, medication management, and interventional procedures. This manuscript will focus both on the etiologies and the interventional treatment options for chronic pelvic pain.
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Abstract

Chronic pelvic pain (CPP) is a recurring and/or constant pain of at least six months duration that has resulted in either functional or psychological disability that can require interventional treatments. Chronic pelvic pain can be visceral, somatic, neuropathic, or a combination. Patients with CPP often suffer from concurrent bowel or bladder dysfunction, sexual dysfunction, depression, and anxiety. The complexity of chronic pelvic pain can be challenging to treat, which can lead to frustration for both patients and their physicians. Treatment should involve a comprehensive and multi-modal approach involving psychosocial support, counseling, physical therapy, medication management, and interventional procedures. This manuscript will focus both on the etiologies and the interventional treatment options for chronic pelvic pain. -

References

- 1 Green IC, Cohen SL, Finkenzeller D, Christo PJ. Interventional therapies for controlling pelvic pain: what is the evidence?. Curr Pain Headache Rep 2010; 14 (01) 22-32 - 2 Plancarte R, Amescua C, Patt RB, Aldrete JA. Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology 1990; 73 (02) 236-239 - 3 Scott- Warren JT, Hill V, Rajasekaran A. Ganglion impar blockade: a review. Curr Pain Headache Rep 2013; 17: 306 - 4 Lihua P, Su M, Zejun Z, Ke W, Bennett MI. Spinal cord stimulation for cancer-related pain in adults. Cochrane Database Syst Rev 2013; 2 (02) CD009389 - 5 Aytuluk HG, Kale A, Basol G. Laparoscopic superior hypogastric blocks for postoperative pain management in hysterectomies: a new technique for superior hypogastric blocks. J Minim Invasive Gynecol 2018 Doi: 10.1016/j.jmig.2018.08.008 - 6 Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965; 150 (3699): 971-979 - 7 Hunter CW, Yang A. Dorsal root ganglion stimulation for chronic pelvic pain: a case series and technical report on a novel lead configuration. Neuromodulation 2018 Doi: 10.1111/ner.12801 - 8 Rowland DC, Wright D, Moir L, FitzGerald JJ, Green AL. Successful treatment of pelvic girdle pain with dorsal root ganglion stimulation. Br J Neurosurg 2016; 30 (06) 685-686 - 9 Le Clerc QC, Riant T, Levesque A. , et al. Repeated ganglion impar block in a cohort of 83 patients with chronic pelvic and perineal pain. Pain Physician 2017; 20 (06) E823-E828

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chronic_pelvic_pain

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References (9)

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