Chronic pelvic pain: Pathogenesis and validated assessment
Autor: | Mohamed A. Bedaiwy, Ali Yosef, Abdel Ghaffar M. Ahmed, Mohamad S. Abdellah, Georgine Cua, Tarek K. Al-Hussaini |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
lcsh:QH471-489 Endometriosis Disease 03 medical and health sciences Indirect costs 0302 clinical medicine Obstetrics and Gynaecology polycyclic compounds Medicine lcsh:Reproduction Medical history Intensive care medicine Irritable bowel syndrome lcsh:R5-920 030219 obstetrics & reproductive medicine business.industry Pelvic pain Obstetrics and Gynecology Central sensitization medicine.disease body regions Distress Reproductive Medicine Etiology Physical therapy medicine.symptom business lcsh:Medicine (General) 030217 neurology & neurosurgery psychological phenomena and processes Chronic pelvic pain |
Zdroj: | Middle East Fertility Society Journal, Vol 21, Iss 4, Pp 205-221 (2016) |
ISSN: | 1110-5690 |
Popis: | Chronic pelvic pain (CPP) is a disabling disease that causes distress as the quality of life of CPP patients is vastly diminished. In addition, CPP is a public health crisis and is a burden on healthcare expenditure. In the United States, the annual costs for the diagnosis and treatment of CPP are 2.8 billion US $. Moreover, to the indirect cost resulting from the absence from work and CPP associated family problems add 550 million US $ more making the economic burden more than 3.4 billion US $ (Mathias et al., 1996). Yet, the diagnosis of CPP is usually complicated as there are no gold standard guidelines that clearly define this syndrome. Although we have a limited understanding of its etiology, CPP has been found to be correlated with central sensitization, painful bladder syndrome, irritable bowel syndrome, endometriosis and adhesions. As such, in the evaluation of patients, it is imperative to take a comprehensive patient history. Performing physical examinations and ultrasound imaging is of particular value to elucidate the etiology of pain. As CPP patients are at risk for psychological disorders, psychological assessments are critical to diagnose associated psychological disorders and to take these into account in planning a holistic treatment plan for patients. By such evaluation techniques, we can provide better diagnostic service and patient care to people with CPP. |
Databáze: | OpenAIRE |
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