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Chronic Pelvic Pain Management

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1. Consensus Guidelines for the Management of Chronic Pelvic Pain

Consensus Guidelines for the Management of Chronic Pelvic Pain No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 11, Pages e747–e787 No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain x John F. Jarrell , MD Calgary, AB x George A. Vilos , MD London, ON x Catherine Allaire , MD Vancouver, BC x Susan Burgess , MD Vancouver (...) Instructions: Please fill out this form by placing an X in the box that best describes your pain when it is the WORST, even if it occurs at different times of your cycle. If any of these functions do not apply to you, please write N/A (not applicable) in the box beside that function. Abstract Objective To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who

2018 Society of Obstetricians and Gynaecologists of Canada

2. 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

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. Chronic pelvic pain in women

ultrasound, cystoscopy with hydrodistension, and diagnostic laparoscopy. Because chronic pain is sometimes a disorder of pain perception, minimal if any pathological change may be found. Treatment is targeted at each organ system involved in pain production. Global pain in all organs or refusal of non-narcotic management may represent drug-seeking behaviour. Complications are inherent to all treatments, which frequently include surgery. Definition Chronic pelvic pain is inconsistently defined (...) 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

5. Psychological management of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a systematic review

Psychological management of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

6. Chronic Pelvic Pain

guidelines on chronic pelvic pain. Eur Urol, 2010. 57: 35. 5. Engeler, D.S., et al. The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol, 2013. 64: 431. 6. McMahon, S.B., et al. Visceral pain. Br J Anaesth, 1995. 75: 132. 7. Shoskes, D.A., et al. Clinical phenotyping of patients with chronic prostatitis/chronic pelvic pain syndrome and correlation with symptom severity. Urology, 2009. 73: 538. 8. Magri (...) prostatitis/chronic pelvic pain syndrome: A MAPP: Research Network Neuroimaging Study. Neuroimage Clin, 2015. 8: 493. 66. Abrams, P., et al. A new classification is needed for pelvic pain syndromes--are existing terminologies of spurious diagnostic authority bad for patients? J Urol, 2006. 175: 1989. 67. Baranowski, A., et al., Urogenital Pain in Clinical Practice. 2008, New York. 68. Baranowski, A.P., et al. Urogenital pain--time to accept a new approach to phenotyping and, as a consequence, management

2019 European Association of Urology

7. What are the effects of mindfulness and meditation-based interventions on chronic pelvic pain management? A systematic review and meta-analysis

What are the effects of mindfulness and meditation-based interventions on chronic pelvic pain management? A systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

8. Postmenopausal Subacute or Chronic Pelvic Pain

. ACR Appropriateness Criteria ® 7 Postmenopausal Subacute or Chronic Pelvic Pain References 1. Ahangari A. Prevalence of chronic pelvic pain among women: an updated review. Pain Physician 2014;17:E141-7. 2. Latthe P, Latthe M, Say L, Gulmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health 2006;6:177. 3. Gemmell LC, Webster KE, Kirtley S, Vincent K, Zondervan KT, Becker CM. The management of menopause in women (...) Postmenopausal Subacute or Chronic Pelvic Pain New 2018 ACR Appropriateness Criteria ® 1 Postmenopausal Subacute or Chronic Pelvic Pain American College of Radiology ACR Appropriateness Criteria ® Postmenopausal Subacute or Chronic Pelvic Pain Variant 1: Postmenopausal subacute or chronic pelvic pain, localized to the deep pelvis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US pelvis transvaginal Usually Appropriate O US duplex Doppler pelvis Usually Appropriate

2018 American College of Radiology

9. The use of brain functional magnetic resonance imaging to determine the mechanism of action of gabapentin in managing chronic pelvic pain in women: a pilot study. (PubMed)

The use of brain functional magnetic resonance imaging to determine the mechanism of action of gabapentin in managing chronic pelvic pain in women: a pilot study. To inform feasibility and design of a future randomised controlled trial (RCT) using brain functional MRI (fMRI) to determine the mechanism of action of gabapentin in managing chronic pelvic pain (CPP) in women.Mechanistic study embedded in pilot RCT.University Hospital.Twelve women (18-50 years) with CPP and no pelvic pathology (...) (follow-up completed March 2014).Oral gabapentin (300-2700 mg) or matched placebo.After 12 weeks of treatment, participants underwent fMRI of the brain (Verio Siemens 3T MRI) during which noxious heat and punctate stimuli were delivered to the pelvis and arm. Outcome measures included pain (visual analogue scale), blood oxygen level dependent signal change and a semi-structured acceptability questionnaire at study completion prior to unblinding.Full datasets were obtained for 11 participants

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2019 BMJ open

10. Managing psychosocial correlates of urologic chronic pelvic pain syndromes: Advice from a urology pain psychologist (PubMed)

Managing psychosocial correlates of urologic chronic pelvic pain syndromes: Advice from a urology pain psychologist 29875046 2018 11 14 1911-6470 12 6 Suppl 3 2018 Jun Canadian Urological Association journal = Journal de l'Association des urologues du Canada Can Urol Assoc J Managing psychosocial correlates of urologic chronic pelvic pain syndromes: Advice from a urology pain psychologist. S175-S157 10.5489/cuaj.5329 Tripp Dean A DA Departments of Psychology, Anesthesiology & Urology, Queen's

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2018 Canadian Urological Association Journal

11. Management of chronic prostatitis/chronic pelvic pain syndrome (PubMed)

Management of chronic prostatitis/chronic pelvic pain syndrome 29875042 2018 11 14 1911-6470 12 6 Suppl 3 2018 Jun Canadian Urological Association journal = Journal de l'Association des urologues du Canada Can Urol Assoc J Management of chronic prostatitis/chronic pelvic pain syndrome. S161-S163 10.5489/cuaj.5325 Doiron R Christopher RC Department of Urology, Queen's University, Kingston, ON, Canada. Nickel J Curtis JC Department of Urology, Queen's University, Kingston, ON, Canada. eng Journal

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2018 Canadian Urological Association Journal

12. Urinary incontinence and pelvic organ prolapse in women: management

in urogynaecology a urologist with expertise in female urology a urogynaecology, urology or continence specialist nurse a pelvic floor specialist physiotherapist a radiologist with expertise in pelvic floor imaging a colorectal surgeon with expertise in pelvic floor problems a pain specialist with expertise in managing pelvic pain and may also include: Urinary incontinence and pelvic organ prolapse in women: management (NG123) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) chronic pain management bowel symptom management neurology. [2019] [2019] 1.1.7 Members of the regional MDT (listed in recommendation 1.1.5) should attend regional MDT meetings when their specific expertise is needed. [2019] [2019] T o find out why the committee made the 2019 recommendations on organisation of specialist services and how they might affect practice, see rationale and impact. 1.2 Collecting data on surgery and surgical complications 1.2.1 Ask women having surgery for stress urinary

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

13. The role of flower pollen extract in managing patients affected by chronic prostatitis/chronic pelvic pain syndrome: a comprehensive analysis of all published clinical trials. (PubMed)

The role of flower pollen extract in managing patients affected by chronic prostatitis/chronic pelvic pain syndrome: a comprehensive analysis of all published clinical trials. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is still a challenge to manage for all physicians. We feel that a summary of the current literature and a systematic review to evaluate the therapeutic efficacy of flower pollen extract would be helpful for physicians who are considering a phytotherapeutic (...) approach to treating patients with CP/CPPS.A comprehensive search of the PubMed and Embase databases up to June 2016 was performed. This comprehensive analysis included both pre-clinical and clinical trials on the role of flower pollen extract in CP/CPPS patients. Moreover, a meta-analysis of available randomized controlled trials (RCTs) was performed. The NIH Chronic Prostatitis Symptom Index (NIH-CPSI) and Quality of Life related questionnaires (QoL) were the most commonly used tools to evaluate

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2017 BMC urology

14. Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome (PubMed)

Recent advances in managing chronic prostatitis/chronic pelvic pain syndrome Chronic prostatitis/chronic pelvic pain syndrome is a common disorder seen in men under the age of 50 and has a considerable negative impact on quality of life; it is a complex and difficult condition to treat, owing to its wide symptomatology. In order to effectively treat this condition, the UPOINT system was developed: it allows clinical profiling of a patient's symptoms into six broad categories (urinary symptoms (...) , psychological dysfunction, organ-specific symptoms, infectious causes, neurologic dysfunction, and tenderness of the pelvic floor muscles) to allow individualized and multimodal therapy. In this review, we present the most recent advancements in the treatment of chronic prostatitis/chronic pelvic pain syndrome from the past few years.

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2017 F1000Research

15. Primary care management of chronic pelvic pain in women. (PubMed)

Primary care management of chronic pelvic pain in women. Chronic pelvic pain in women can arise from many causes and often results in significant declines in function and quality of life. A systematic approach for evaluating patients and initiating a management plan are recommended in the primary care setting. Comprehensive management strategies may include medication, pelvic physical therapy, and behavioral interventions.Copyright © 2018 Cleveland Clinic.

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2018 Cleveland Clinic Journal of Medicine

16. GaPP2, a multicentre randomised controlled trial of the efficacy of gabapentin for the management of chronic pelvic pain in women: study protocol. (PubMed)

GaPP2, a multicentre randomised controlled trial of the efficacy of gabapentin for the management of chronic pelvic pain in women: study protocol. Chronic pelvic pain (CPP) affects more than 1 million UK women with associated healthcare costs of £158 million annually. Current evidence supporting interventions when no underlying pathology is identified is very limited and treatment is frequently inadequate. Gabapentin (a GABA analogue) is efficacious and often well tolerated in other chronic (...) pain conditions. We have completed a successful pilot randomised controlled trial Gabapentin for Pelvic Pain 1 (GaPP1) and here describe the protocol for our definitive multicentre trial to assess the efficacy of gabapentin in the management of CPP in women Gabapentin for Pelvic Pain 2 (GaPP2).We plan to perform a double-blind placebo-controlled randomised multicentre clinical trial, recruiting 300 women with CPP from up to 40 National Health Service hospitals within the UK. After randomisation

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2018 BMJ open

17. Self-management Program in Chronic Pelvic Pain

Self-management Program in Chronic Pelvic Pain Self-management Program in Chronic Pelvic Pain - 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. Self-management Program in Chronic Pelvic Pain The safety (...) ): Marie Carmen Valenza, Universidad de Granada Study Details Study Description Go to Brief Summary: Chronic pelvic pain is a serious health condition with an estimated prevalence of 15% women worldwide.Treatment is a challenge given the different pain generators described. It is important to develop self-management interventions to reduce the frustration associated with its management. Condition or disease Intervention/treatment Phase Chronic Pelvic Pain Behavioral: Self-management intervention

2018 Clinical Trials

18. Chronic Pelvic Pain, Initial Management

Chronic Pelvic Pain, Initial Management The Initial Management of Chronic Pelvic Pain Green-top Guideline No. 41 May 2012The Initial Management of Chronic Pelvic Pain This is the second edition of this guideline. The first edition was published in 2005 under the same title. 1. Purpose and scope The purpose of this guideline is to provide an evidence-based summary for the generalist to facilitate appropriate investigation and management of women presenting for the first time with chronic pelvic (...) a heavy economic and social burden. Aiming for accurate diagnosis and effective management from the first presentation may help to reduce the disruption of the woman’s life and may avoid an endless succession of referrals, investigations and operations. This guideline provides an evidence-based framework for the initial assessment of women with chronic pelvic pain. It is intended for the general gynaecologist but may be of use to the general practitioner in deciding when to refer and to whom. 3

2012 Royal College of Obstetricians and Gynaecologists

19. Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review

Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Loving S, Nordling J, Jaszczak P, Thomsen T CRD summary The review concluded that there seemed to be some limited evidence to support an effect of multidisciplinary intervention (...) approach that appeared to be promising and randomised clinical trials were underway in order to establish its evidence base. Funding The Research Council at Herlev Hospital, University of Copenhagen; Dansk SmerteForum; Aase and Einar Danielsen’s Foundation; Association of Danish Physiotherapists. Bibliographic details Loving S, Nordling J, Jaszczak P, Thomsen T. Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review. Scandinavian Journal of Pain 2012; 3

2012 DARE.

20. Chronic prostatitis and chronic pelvic pain syndrome

for specialist assessment and management 33 Treatment strategies 33 Pain relief 33 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 3 Specialist physiotherapy 36 Phytotherapy 38 Cognitive behavioural therapy and psychotherapy 38 (...) evaluation for infertility or other disorders CP = chronic prostatitis; CPPS = chronic pelvic pain syndrome; EPS = expressed prostatic secretions; NIH = National Institutes of Health; VB = voided bladder; VB3 = post-prostatic massage voided bladder urine a During CP/CPPS, it is possible for patients to switch between the two subcategories (IIIa and IIIb), but this has little effect on their subsequent clinical management. Guideline objectives A Prostatitis Expert Reference Group (PERG) was convened

2015 Prostate Cancer UK

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