The psychological and physical benefits of pelvic ultrasonography in patients with chronic pelvic pain and negative laparoscopy. A random allocation trial
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This trial randomized 100 chronic pelvic pain patients with negative laparoscopy to ultrasound counselling or watchful waiting, finding ultrasound counselling improved pain and anxiety scores more than controls.
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Abstract
SummarySummaryIn order to establish the physical and psychological value of pelvic ultrasonography coupled with counselling in the management of patients with chronic pelvic pain and a negative laparoscopy, a clinical trial was carried out on 115 patients between 1989 and 1991. Diagnostic laparoscopy was carried out on all subjects and 15 patients found to have organic disease were excluded. The remaining 100 patients were allocated at random into two groups. The first group (n = 50) received ultrasonic counselling sessions. A 'wait and see' policy was adopted with the second group (n = 50). The McGill pain score and the Hospital Anxiety and Depression Scale were used before and 4 to 9 months after the ultrasonic session. Ten patients failed to attend for follow up (four, scan group; six, controls).Out of the 46 patients of the first group, 13 had significant improvement and 12 were cured using the McGill pain score. Of the 30 patients with abnormal Hospital Anxiety scores, 15 scored normal, and six were borderline at the second assessment.Out of the 44 patients of the control group, four showed significant improvement, one was cured, using the McGill score. Out of the 29 patients with abnormal Hospital Anxiety score, six scored normal, and three were borderline at the second assessment.
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Cited by (21)
- Chronic Pelvic Pain 2018
- Psychotherapeutische Therapieansätze 2015
- ISPOG European Consensus Statement – chronic pelvic pain in women (short version) 2015
- Interventions for treating chronic pelvic pain in women 2015
- Non-surgical interventions for the management of chronic pelvic pain 2014
- Chronic Pelvic Pain 2012
- Systematic Review of Therapies for Noncyclic Chronic Pelvic Pain in Women 2012
- Chronic pelvic pain 2011
- Pelvic and Perineal Pain in Women 2010
- Laparoscopic Uterosacral Nerve Ablation for Alleviating Chronic Pelvic Pain<subtitle>A Randomized Controlled Trial</subtitle> 2009
- Chronic Pelvic and Vulvar Pain in Women 2008
- Predictors of outcome in a cohort of women with chronic pelvic pain – A follow‐up study 2008
- Medical management of chronic pelvic pain 2008
- Chronic Pelvic Pain 2007
- Management of chronic pelvic pain: evidence from randomised controlled trials 2006
- Attitudes of women with chronic pelvic pain to the gynaecological consultation: a qualitative study 2006
- Chronic pelvic pain: Aetiology and therapy 2006
- Chronic pelvic pain: Sailing between the “ Scylla” and the “ Charybdis” 2005
- Chronic Pelvic Pain 2003
- Interventions for treating chronic pelvic pain in women 2003
- Medical management of chronic pelvic pain 2000
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