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Semin Reprod Med 2018; 36(02): 159-163
DOI: 10.1055/s-0038-1676104
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Sadie E. Smith
1   Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Jill M. Eckert
1   Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
› Author Affiliations
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Publication History

Publication Date:
19 December 2018 (online)

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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.

Keywords

visceral pain - sympathetic blockade - neuromodulation - somatic pain - neuropathic 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
    CrossrefPubMedSearch in Google Scholar
  • 2 Plancarte R, Amescua C, Patt RB, Aldrete JA. Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology 1990; 73 (02) 236-239
    CrossrefPubMedSearch in Google Scholar
  • 3 Scott- Warren JT, Hill V, Rajasekaran A. Ganglion impar blockade: a review. Curr Pain Headache Rep 2013; 17: 306
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 6 Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965; 150 (3699): 971-979
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar