Chronisches Unterbauchschmerzsyndrom

R. Gätje
In: Die Gynäkologie · 2012 · pp. 343–351 · doi:10.1007/978-3-642-20923-9_20 · W4251347360
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Chronic pelvic pain syndrome, affecting up to 15% of women aged 18-50, presents a significant healthcare cost and quality of life issue for affected patients.

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The chapter describes chronic pelvic pain syndrome (CPPS) as a common gynecologic condition characterized by chronic lower abdominal pain, citing U.S. epidemiologic estimates that up to 15% of women aged 18–50 years are affected. It summarizes the clinical and health-economic burden, including figures that 10% of ambulatory gynecology patients present for lower abdominal pain and that a subset of laparoscopies and hysterectomies are performed due to chronic pelvic pain. It emphasizes that CPPS is a prevalent problem, but the text is presented as a narrative overview rather than a new primary study, with limitations that it does not provide detailed methodological evaluation of the cited data within the chapter itself. Relevance to endometriosis: endometriosis is referenced in the included literature and related context (e.g., a controlled study of presacral neurectomy for pelvic pain associated with endometriosis is listed), though the chapter’s main focus is chronic pelvic pain syndrome as a broader clinical entity.

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Zusammenfassung Häufigkeit Chronische Unterbauchschmerzen, auch »chronic pelvic pain syndrome« (CPPS), sind ein sehr häufig beobachtetes Krankheitsbild in der Gynäkologie. Epidemiologische Untersuchungen aus den USA zeigen, dass bis zu 15% der Frauen zwischen 18 und 50 Jahren unter chronischen Unterbauchschmerzen leiden. Damit stellt das chronische Unterbauchschmerzsyndrom ein Problem dar, das sowohl erhebliche medizinische Kosten verursacht als auch die Lebensqualität der betroffenen Patientinnen deutlich einschränkt. 10% der ambulanten Patientinnen suchen ihren Frauenarzt wegen Unterbauchschmerzen auf, etwa 20% der Laparoskopien und 10% der Hysterektomien in den USA werden aufgrund chronischer Unterbauchschmerzen durchgeführt. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur ACOG criteria set (1998) Hysterectomy, abdominal or vaginal for chronic pelvic pain. Int J Gynecol Obstet 60: 316–317 ACOG practice bulletin (2004) Chronic pelvic pain. Obstet Gynecol 103: 589–605 Batioglu S, Zeyneloglu HB (2000) Laparoscopic plication and suspension of the round ligament for chronic pelvic pain and dyspareunia. J Am Assoc Gynecol Laparosc 7: 547–551 Bodden-Heidrich R (2000) Chronisches Unterbauchschmerzsyndrom. In: Neises M, Ditz S (Hrsg) Psychosomatische Grundversorgung in der Frauenheilkunde. Stuttgart: Thieme: 55–65 Bodden-Heidrich R, Kuppers V, Beckmann MW, Rechenberger I, Bender HG (1999) Chronic pelvic pain syndrome (CPPS) and chronic vulvar pain syndrome (CVPS): evaluation of psychosomatic aspects. J Psychosom Obstet Gynaecol 20: 145–151 Candiani GB, Fedele L, Vercellini P, Bianchi S, Di Nola G (1992) Presacral neurectomy for the treatment of pelvic pain associated with endometriosis: a controlled study. Am J Obstet Gynecol 167: 100–103 Carter JE (1999) Carter-Thomason uterine suspension and positioning by ligament investment, fixation and truncation. J Reprod Med 44:417422 Daniels JP, Middleton L, Xiong T et al.; and International LUNA IPD Meta-analysis Collaborative Group (2010) Individual patient data meta-analysis of randomized evidence to assess the effectiveness of laparoscopic uterosacral nerve ablation in chronic pelvic pain. Hum Reprod Update 16 (6): 568–576 Gargiulo T, Leo L, Gomel V (2000) Laparscopic uterine suspension using three-stitch technique. J Am Assoc Gynecol Laparosc 7: 233–236 Kontoravdis A, Chryssikopoulos A, Hassiakos D, Liapis A, Zourlas PA (1996) The diagnostic value of laparoscopy in 2365 women with acute and chronic pelvic pain. Int J Gynaecol Obstet 52: 243– 248 Lamvu G (2011) Role of hysterectomy in the treatment of chronic pain. Obstet Gynecol 117 (5): 1175–1178 Newham AP, van der Spuy ZM, Nugent F (1996) Laparoscopic findings in women with chronic pelvic pain. S Afr Med J 86: 1200–1203 Nezhat FR, Crystal RA, Nezhat CH, Nezhat CR (2000) Laparoscopic adhesiolysis and relief of chronic pelvic pain. JSLS 4: 281–285 Porpora MG, Gomel V (1997) The role of laparoscopy in the management of pelvic pain in women of reproductive age. Fertil Steril 68: 765–779 Richter HE, Holley RL, Chandraiah S, Varner RE (1998) Laparoscopic and psychologic evaluation of women with chronic pelvic pain. Int J Psychiat Med 28: 243–253 Sharma D, Dahiya K, Duhan N, Bansal R (2011) diagnostic pelvic laparascopy in chronic pelvic pain. Arch Gynecol Obstet 283 (2): 295– 257 Swank DJ, Swank-Bordewijk SCG, Hop WCJ et al. (2003) Laparoscopic adhesiolysis in patients with chronic abdominal pain a blinded, randomized, controlled multicenter trial. Lancet 361: 1247–1251 Tay SK, Bromwich N (1998) Outcome of hysterectomy for pelvic pain in premenopausal women. Aust N Z J Obstet Genaecol 38: 72– 76 Taylor HC (1949) Vascular congestion and hyerpemia. Physiologic basis and history of concept. Am J Obstet Gynecol 57: 211–230 Venbrux AC, Lambert DL (1999) Embolization of the ovarian veins as a treatment for patients with chronic pelvic pain caused by venous incompetence (pelvic congestion syndrome). Curr Opin Obstet Gynecol 11: 395–399 Vercellini P, Cortesi I, Trespidi L, Parazzini F, De Giorgi O, Crosognani PG (1996) Endometriosis and pelvic pain: relation to disease stage and localization. Fertil Steril 65: 299–304 Wolter P, Riedel HH (2000) Eine retrospektive Studie zur Bedeutung der pelviskopischen Adhäsiolyse für die Behandlung chronischer Unterbauchbeschwerden (Januar 1996–Dezember 1997) 122: 368–373 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2013 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Gätje, R. (2013). Chronisches Unterbauchschmerzsyndrom. In: Kaufmann, M., Costa, S.D., Scharl, A. (eds) Die Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20923-9_20 Download citation DOI: https://doi.org/10.1007/978-3-642-20923-9_20 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-20922-2 Online ISBN: 978-3-642-20923-9 eBook Packages: Medicine (German Language)

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