Chronic Urogenital and Pelvic Pain

Zakari A. Suleiman, Corey Hunter
In: Academic Pain Medicine · 2019 · pp. 297–304 · doi:10.1007/978-3-030-18005-8_38 · W2964329715
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Chronic pelvic pain is a complex, poorly understood disorder often resistant to treatment, with neuromodulation offering an alternative for patients unresponsive to injections.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper/chapter reviews chronic urogenital and pelvic pain, focusing on pelvic innervation complexity, how persistent noxious stimuli can contribute to chronic pelvic pain syndromes, and the challenges of diagnosing and treating these poorly understood disorders. It summarizes the use of neuromodulation—particularly approaches such as sacral nerve stimulation—for pain relief in patients whose steroid/local anesthetic injections are unhelpful, drawing on related literature and guideline discussions. A key limitation is that the chapter emphasizes that many chronic pelvic pain conditions remain complex and not fully understood and therefore remain non-responsive to conventional therapies in many cases. Relevance to endometriosis: it does not specifically discuss endometriosis or adenomyosis as a primary focus within the provided chapter text, though endometriosis is mentioned in the reference list via a study on anxiety and depression in patients with endometriosis; it was included in the corpus via keyword match.

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last seen: 2026-06-10T17:14:06.276822+00:00
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