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Chronic Pelvic Pain Causes

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1. MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation

MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website (...) search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} MRI does not add value to information already gained from history, examination and ultrasound about idiopathic chronic pain and was never a cost-effective option compared with laparoscopy. {{author}} {{($index , , , , , , , , , , , & . Khalid S Khan 1 , Konstantinos Tryposkiadis 2 , Seema A Tirlapur 1 , Lee J Middleton 2 , Andrew J Sutton 3, 4 , Lee

2018 NIHR HTA programme

2. Pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. (PubMed)

Pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common disorder in which the two main clinical features are pelvic pain and lower urinary tract symptoms. There are currently many approaches for its management, using both pharmacological and non-pharmacological interventions. The National Institute of Health - Chronic Prostatitis Symptom Index (NIH-CPSI) score is a validated measure (...) commonly used to measure CP/CPPS symptoms. We considered a 25% decrease of NIH-CPSI baseline score or a six-point reduction as MCID.To assess the effects of pharmacological therapies for chronic prostatitis/chronic pelvic pain syndrome.We performed a comprehensive search using CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, trial registries, grey literature and conference proceedings, with no restrictions on the language of publication or publication status. The date of the latest search of all databases

2019 Cochrane

3. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. (PubMed)

Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common disorder in which the two main clinical features are pelvic pain and lower urinary tract symptoms. There are currently many approaches for its management, using both pharmacological and non-pharmacological interventions. The National Institute of Health - Chronic Prostatitis Symptom Index (NIH-CPSI) score is a validated measure (...) commonly used to measure CP/CPPS symptoms.To assess the effects of non-pharmacological therapies for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).We performed a comprehensive search using multiple databases, trial registries, grey literature and conference proceedings with no restrictions on the language of publication or publication status. The date of the latest search of all databases was August 2017.We included randomised controlled trials. Inclusion criteria were men with a diagnosis

2018 Cochrane

4. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. (PubMed)

Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common disorder in which the two main clinical features are pelvic pain and lower urinary tract symptoms. There are currently many approaches for its management, using both pharmacological and non-pharmacological interventions. The National Institute of Health - Chronic Prostatitis Symptom Index (NIH-CPSI) score is a validated measure (...) commonly used to measure CP/CPPS symptoms.To assess the effects of non-pharmacological therapies for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).We performed a comprehensive search using multiple databases, trial registries, grey literature and conference proceedings with no restrictions on the language of publication or publication status. The date of the latest search of all databases was August 2017.We included randomised controlled trials. Inclusion criteria were men with a diagnosis

2018 Cochrane

5. A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain. (PubMed)

A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain. Pelvic congestion syndrome is defined as chronic pelvic pain due to incompetent (dilated and refluxing) pelvic veins. The aim of this study was to investigate the prevalence of this condition by examining the prevalence of dilated ovarian and para-uterine veins in pre- and postmenopausal female patients, irrespective of their symptoms. We subsequently investigated how many women with dilated veins (...) suffered from chronic pelvic pain. Additionally, we attempted to define diagnostic criteria that may allow for early identification of affected patients.We reassessed 2384 abdomino-pelvic computed tomography scans performed on women at our institution. The maximal diameters of the ovarian and para-uterine veins were measured. Patients with a pathological process in the abdomen or pelvis affecting the veins were excluded. We considered ovarian vein dilation to be 6 mm or more in the axial plane

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2019 PLoS ONE

6. Chronic pelvic pain in women

, but the American College of Obstetricians and Gynecologists recommended definition is pain lasting for 6 months or more localised to the pelvis, the anterior abdominal wall at or below the umbilicus, the lumbosacral back, or the buttocks, that is of sufficient severity to cause functional disability or lead to medical care. ACOG Committee on Practice Bulletins--Gynecology. ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol. 2004 Mar;103(3):589-605. http://www.ncbi.nlm.nih.gov/pubmed/14990428 (...) Chronic pelvic pain in women Chronic pelvic pain in women - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Chronic pelvic pain in women Last reviewed: February 2019 Last updated: March 2018 Summary Chronic pelvic pain is a syndrome of pain arising from one or more pelvic organs, and can include any one or all pelvic viscera or muscles. A methodical, complete, criteria-based history is required to determine how many

2018 BMJ Best Practice

7. Chronic Pelvic Pain

of the story. Hum Reprod Update, 2009. 15: 177. 330. Vercellini, P., et al. Medical treatment for rectovaginal endometriosis: what is the evidence? Hum Reprod, 2009. 24: 2504. 331. Walters, C., et al. Pelvic girdle pain in pregnancy. Aust J Gen Pract, 2018. 47: 439. 332a. Khan, K.S., et al. MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation. Health Technol Assess, 2018. 22: 1. 332b. Kaminski, P., et al. The usefulness (...) Chronic Pelvic Pain Chronic Pelvic Pain | Uroweb › Chronic Pelvic Pain Chronic Pelvic Pain To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . D. Engeler (Chair), A.P. Baranowski, B. Berghmans, J. Borovicka, A.M. Cottrell, P.S. Elneil, J. Hughes, E. Messelink (Vice-chair), A.C. de C Williams Guidelines Associates: L. Pacheco-Figueiredo, B. Parsons, S. Goonewardene TABLE OF CONTENTS

2019 European Association of Urology

8. MRI scan does not help to find the cause of pelvic pain in women

MRI scan does not help to find the cause of pelvic pain in women MRI scan does not help to find the cause of pelvic pain in women Discover Portal Discover Portal MRI scan does not help to find the cause of pelvic pain in women Published on 16 October 2018 doi: MRI scans are not sufficiently accurate to find the cause of chronic pelvic pain in women and should not replace laparoscopy (keyhole surgery), which can be used for diagnosis and often treatment. MRI only correctly ruled out (...) a gynaecological condition in half of women judged to have no obvious cause and missed half of women who did have a treatable gynaecological condition. Pinpointing the origin of chronic pelvic pain is often difficult due to the number of possible causes. If initial tests and examinations, including ultrasound, don’t identify the cause, a laparoscopy under anaesthesia is often the next step. This NIHR-funded study aimed to see whether MRI could reliably rule out disease and thereby avoid laparoscopy

2019 NIHR Dissemination Centre

9. Postmenopausal Subacute or Chronic Pelvic Pain

, Nihira MA. Evaluation of vaginal cysts and masses by 3- dimensional endovaginal and endoanal sonography. J Ultrasound Med 2013;32:1499-507. 9. Cicchiello LA, Hamper UM, Scoutt LM. Ultrasound evaluation of gynecologic causes of pelvic pain. Obstet Gynecol Clin North Am 2011;38:85-114, viii. 10. Ganeshan A, Upponi S, Hon LQ, Uthappa MC, Warakaulle DR, Uberoi R. Chronic pelvic pain due to pelvic congestion syndrome: the role of diagnostic and interventional radiology. Cardiovasc Intervent Radiol 2007;30 (...) , Gui B, Basilico R, Di Molfetta IV, Micco M, Bonomo L. Magnetic resonance imaging in women with pelvic pain from gynaecological causes: a pictorial review. Radiol Med 2012;117:575-92.ACR Appropriateness Criteria ® 8 Postmenopausal Subacute or Chronic Pelvic Pain 25. American College of Radiology. Manual on Contrast Media. Available at: https://www.acr.org/Clinical- Resources/Contrast-Manual. Accessed September 30, 2018. 26. Asciutto G, Mumme A, Marpe B, Koster O, Asciutto KC, Geier B. MR venography

2018 American College of Radiology

10. Chronic Pelvic Pain

of the story. Hum Reprod Update, 2009. 15: 177. 330. Vercellini, P., et al. Medical treatment for rectovaginal endometriosis: what is the evidence? Hum Reprod, 2009. 24: 2504. 331. Walters, C., et al. Pelvic girdle pain in pregnancy. Aust J Gen Pract, 2018. 47: 439. 332a. Khan, K.S., et al. MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation. Health Technol Assess, 2018. 22: 1. 332b. Kaminski, P., et al. The usefulness (...) Chronic Pelvic Pain Chronic Pelvic Pain | Uroweb › Chronic Pelvic Pain Chronic Pelvic Pain To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . D. Engeler (Chair), A.P. Baranowski, B. Berghmans, J. Borovicka, A.M. Cottrell, P.S. Elneil, J. Hughes, E. Messelink (Vice-chair), A.C. de C Williams Guidelines Associates: L. Pacheco-Figueiredo, B. Parsons, S. Goonewardene TABLE OF CONTENTS

2018 European Association of Urology

11. The Vascular Factor Plays the Main Role in the Cause of Pain in Men with Chronic Prostatitis and Chronic Pelvic Pain Syndrome: The Results of Clinical Trial on Thermobalancing Therapy (PubMed)

The Vascular Factor Plays the Main Role in the Cause of Pain in Men with Chronic Prostatitis and Chronic Pelvic Pain Syndrome: The Results of Clinical Trial on Thermobalancing Therapy Chronic pain in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), NIH category III is difficult to treat without understanding its cause. The main symptom of chronic prostatitis is pain. In this study, we would like to explain the origin of pain in men with CP/CPPS and its therapy. Forty (...) , creating a continuous secondary trigger-i.e., the micro-focus of hypothermia-which in turn provokes expansion of capillaries. The additional tissue due to vascular changes into the prostate increases pressure on nociceptors causing pain. TT relieves chronic pelvic pain by eliminating the lasting focus of hypothermia in the affected prostate tissue.

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2017 Diseases

12. The Clinical Effect of Fuke Qianjin Capsule on Chronic Pelvic Pain Caused by Pelvic Inflammation

The Clinical Effect of Fuke Qianjin Capsule on Chronic Pelvic Pain Caused by Pelvic Inflammation The Clinical Effect of Fuke Qianjin Capsule on Chronic Pelvic Pain Caused by Pelvic Inflammation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. The Clinical Effect of Fuke Qianjin Capsule on Chronic Pelvic Pain Caused by Pelvic Inflammation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03251560 Recruitment Status : Recruiting

2017 Clinical Trials

13. MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation. (PubMed)

MRI versus laparoscopy to diagnose the main causes of chronic pelvic pain in women: a test-accuracy study and economic evaluation. Chronic pelvic pain (CPP) symptoms in women are variable and non-specific; establishing a differential diagnosis can be hard. A diagnostic laparoscopy is often performed, although a prior magnetic resonance imaging (MRI) scan may beneficial.To estimate the accuracy and added value of MRI in making diagnoses of (1) idiopathic CPP and (2) the main gynaecological (...) and diagnostic laparoscopy (undertaken and interpreted blind to each other) were the index tests. For each potential cause of CPP, gynaecologists indicated their level of certainty that the condition was causing the pelvic pain. The analysis considered both diagnostic laparoscopy as a reference standard for observing structural gynaecological causes and consensus from a two-stage expert independent panel for ascertaining the cause of CPP. The stage 1 consensus was based on pre-index, laparoscopy and follow

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2018 Health technology assessment (Winchester, England)

14. Immunological Mechanisms Underlying Chronic Pelvic Pain and Prostate Inflammation in Chronic Pelvic Pain Syndrome (PubMed)

in the absence of an invading infectious agent. Since CP/CPPS etiology is still not well established, available therapeutic options for patients are far from satisfactory for either physicians or patients. During the past two decades, chronic inflammation has been deeply explored as the cause of CP/CPPS. In this review article, we summarize the current knowledge regarding immunological mechanisms underlying chronic pelvic pain and prostate inflammation in CP/CPPS. Cumulative evidence obtained from both human (...) Immunological Mechanisms Underlying Chronic Pelvic Pain and Prostate Inflammation in Chronic Pelvic Pain Syndrome Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is the most common urologic morbidity in men younger than 50 years and is characterized by a diverse range of pain and inflammatory symptoms, both in type and severity, that involve the region of the pelvis, perineum, scrotum, rectum, testes, penis, and lower back. In most patients, pain is accompanied by inflammation

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2017 Frontiers in immunology

15. Uterine cyst as a cause of chronic pelvic pain: a case report. (PubMed)

Uterine cyst as a cause of chronic pelvic pain: a case report. Cystic adenomyosis is a rare form of adenomyosis. Presently, these cysts are generally considered to be of a benign nature and result from cyclical response to menstrual dynamics.A 31-year-old, African-American female presented for a second opinion with a chief complaint of pelvic pain. She had recently undergone an exploratory laparoscopy with findings suggestive of endometriosis. She was never pregnant and had been taking oral (...) contraceptive pills for over 3 months with little relief This patient had no history of uterine surgery. Pelvic ultrasound performed after her surgery revealed a cystic structure, homogeneously echogenic in the anterior corpus of the uterus, measuring 2.7 x 2.4 x 3.5 cm. This structure appeared consistent with an adenomyotic cyst. The patient's symptoms improved after the transvaginal aspiration, and she no longer required narcotics.Of all the possibilities considered, this cyst most closely resembled

2017 Journal of Reproductive Medicine

16. Effectiveness comparisons of acupuncture for chronic prostatitis/chronic pelvic pain syndrome: A Bayesian network meta-analysis protocol. (PubMed)

Effectiveness comparisons of acupuncture for chronic prostatitis/chronic pelvic pain syndrome: A Bayesian network meta-analysis protocol. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common urinary system disease in the male population. Recent studies have shown that acupuncture can alleviate the pain caused by CP/CPPS to a certain extent and improve the quality of life of patients. This study used a network meta-analysis (NMA) to compare the effectiveness and safety

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2019 Medicine

17. Traditional Chinese medicine on treating chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis. (PubMed)

Traditional Chinese medicine on treating chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common urinary system disease in the male population. Recent studies have shown that traditional Chinese medicine (TCM) can alleviate the pain caused by CP/CPPS to a certain extent and improve the quality of life of patients. In this systematic review, we aim to evaluate the effectiveness and safety (...) of TCM for chronic prostatitis/chronic pelvic pain syndrome.We will search for PubMed, Cochrane Library, AMED, EMbase, WorldSciNet; Nature, Science online and China Journal Full-text Database (CNKI), China Biomedical Literature CD-ROM Database (CBM), and related randomized controlled trials included in the China Resources Database. The time is limited from the construction of the library to May 2019. The quality of the included randomized controlled trials (RCTs) will be evaluated with the risk

2019 Medicine

18. Chronic prostatitis and chronic pelvic pain syndrome

(or in morning, if insomnia) 60–120 mg od Nausea, sedation, insomnia, headache, dizziness, dry mouth, constipation. Less sedating. May cause insomnia in some patients. a Based on information from the British National Formulary 85 and PERG expert consensus. Abbreviations: bd = twice-daily; GI = gastrointestinal; od = once-daily; SNRIs = serotonin-norepinephrine reuptake inhibitors; tds = three times daily. Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain (...) Chronic prostatitis and chronic pelvic pain syndrome Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. Sept 2014 Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). A company limited by guarantee registered number 2653887 (England and Wales). Page 1 Jon Rees, 1 Mark Abrahams, 2 Victor Abu, 3 Trevor Allan, 4 Andrew Doble, 5 Theresa Neale, 6 Penny Nixon, 7 Maxwell

2015 Prostate Cancer UK

19. IL-17 is not essential for inflammation and chronic pelvic pain development in an experimental model of chronic prostatitis/chronic pelvic pain syndrome. (PubMed)

IL-17 is not essential for inflammation and chronic pelvic pain development in an experimental model of chronic prostatitis/chronic pelvic pain syndrome. Pain and inflammation in the absence of infection are hallmarks in chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS) patients. The etiology of CP/CPPS is unclear, and autoimmunity has been proposed as a cause. Experimental autoimmune prostatitis (EAP) models have long been used for studying CP/CPPS. Herein, we studied prostate (...) inflammation induction and chronic pelvic pain development in EAP using IL-12p40-KO, IL-4-KO, IL-17-KO, and wild-type (C57BL/6) mice. Prostate antigen (PAg) immunization in C57BL/6 mice induced specific Th1 and Th17 immune responses and severe prostate inflammation and cell infiltration, mainly composed of CD4 T cells and macrophages. Moreover, chronic pelvic pain was evidenced by increased allodynia responses. In immunized IL-17-KO mice, the presence of a prominent PAg-specific Th1 immune response caused

2016 Pain

20. Therapies Targeting the Nervous System for Chronic Pelvic Pain Relief

be effective for thoracolumbar afferents. However, it is difficult to obtain appropriate stimulation from SCS for the sacral nerves, including pudendal, thus limiting the use of this therapy in chronic pelvic pain management. Nevertheless, where a specific visceral cause has been determined, such as in endometriosis, there is a possibility that it does have some impact. In a small (n = 6) study by Kapural et al., 59 SCS was used to treat visceral pelvic pain after a successful test period with hypogastric (...) with treatment with sympathomimetic amines--case report. Clin Exp Obstet Gynecol 2007;34:55–6. 27. Check JH, Katsoff B, Citerone T, Bonnes E. A novel highly effective treatment of interstitial cystitis causing chronic pelvic pain of bladder origin: case reports. Clin Exp Obstet Gynecol 2005;32:247–9. 28. Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain. Cochrane Database Syst Rev 2008;(3):CD003222. 29. Schneider MP, Tellenbach M, Mordasini L, Thalmann GN, Kessler TM

2015 Royal College of Obstetricians and Gynaecologists

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