AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Medical Tx rivals surgery in chronic pelvic pain.(Gynecology)
ORLANDO -- Women with chronic pelvic pain responded as well to medical treatment as they did to surgery, according to a prospective, observational cohort study of 370 patients that was carried out 1 year after treatment, Dr. Georgine Lamvu said at the annual meeting of the South Atlantic Association of Obstetricians and Gynecologists.
About 15% of women report having chronic pelvic pain (CPP) in their lifetime. It is the primary indication for 12% of hysterectomies and 40% of laparoscopies and costs over $2 billion annually, said Dr. Lamvu of the University of North Carolina at Chapel Hill.
The mean pain level score, as assessed by the McGill Pain Questionnaire, was 30, or moderate to severe, in 49% of both medically and surgically treated women who were referred to the university's pelvic pain clinic for evaluation of continued CPP.
Likewise, moderate to severe depression, as measured by the Beck Depression Inventory scale, was diagnosed in 22% of both groups.
Surgical treatment ranged from diagnostic laparoscopy to hysterectomy, and medical treatment consisted of pharmacotherapy, psychotherapy, and physical therapy.
One year later, the mean McGill Pain Questionnaire score had decreased from 30 to 23 in both groups. Overall, depression scores were unchanged in 48%, improved in 32%, and worsened in 20%. However, depression did not predict worse outcome, Dr. Lamvu said. "We were surprised, but that is what we found. Outcomes were similar with both treatment types."
Dr. Lamvu said she is planning further studies that will focus on physician-patient relationships, which may influence outcomes for pain treatment in women with CPP. "There may actually be some biological reasons for the way women respond to pain ...
- Piriformis, levator ani tenderness can cause pelvic pain.(Women's Health)
- Magazine article from: Internal Medicine News Wendling, Patrice March 1, 2005 700+ words
...increasingly implicated as a cause of many pelvic pain conditions such as interstitial...study of 987 women referred to a pelvic pain clinic at the University of North Carolina, Chapel Hill, for chronic pelvic pain, found levator ani tenderness...
- Diagnosis can be elusive: piriformis and levator ani tenderness are prevalent...
- Magazine article from: OB GYN News Norton, Patrice G.W. September 15, 2004 700+ words
...increasingly implicated as a cause of many pelvic pain conditions such as interstitial...study of 987 women referred to a pelvic pain clinic at the University of North Carolina, Chapel Hill, for chronic pelvic pain, found levator ani tenderness...
- Musculoskeletal dysfunction has role in pelvic pain.(Women's Health)
- Magazine article from: Family Practice News Wendling, Patrice May 1, 2005 700+ words
...increasingly implicated as a cause of many pelvic pain conditions such as interstitial...study of 987 women referred to a pelvic pain clinic at the University of North Carolina, Chapel Hill, for chronic pelvic pain, found levator ani tenderness...
- Lamotrigine may improve pelvic pain, depression.(Pain Medicine)
- Magazine article from: Clinical Psychiatry News Wachter, Kerri May 1, 2008 700+ words
...with chronic pelvic pain, particularly...with chronic pelvic pain,researchers at the University of North Carolina found that treatment...University of North Carolina, Chapel Hill...Participants had to have pelvic pain for at least...
- Centralization keys chronic pelvic pain diagnosis. (Spinal Cord May Retain...
- Magazine article from: OB GYN News Lippman, Helen April 1, 2002 700+ words
...neurophysiology involved in chronic pelvic pain and the use of innovative...referred to Dr. Steege's pelvic pain clinic at the University of North Carolina, Chapel Hill, after undergoing...indications of chronic pelvic pain syndrome. Iris characterized...
- Study finds significant improvements in pelvic pain, depression after procedure.
- Newspaper article from: Pain & Central Nervous System Week November 29, 2004 700+ words
...whether or not women with pelvic pain and or depression before...at the University of North Carolina at Chapel Hill School...improvements in self-reported pelvic pain and depression after...interviews: those with pelvic pain only, depression only...
- Medical Tx rivals surgery for chronic pelvic pain.(Women's Health)
- Magazine article from: Family Practice News Lowry, Fran April 1, 2006 700+ words
...having chronic pelvic pain (CPP) in their...University of North Carolina at Chapel Hill...university's pelvic pain clinic for evaluation...University of North Carolina, reported that...university's pelvic pain clinic found...
- Long-term lidocaine use seen effective for pelvic pain.(Women's Health)
- Magazine article from: Internal Medicine News Wendling, Patrice February 15, 2005 700+ words
...by the International Pelvic Pain Society. "We started...at the University of North Carolina, Chapel Hill. "We...that changes in the way pelvic pain is viewed, and cross...for the treatment of pelvic pain, including using local...