Pelvic pain: a chronic visceral pain syndrome.

Wesselmann U, Czakanski PP.

Department of Neurology, Johns Hopkins University School of Medicine,
Traylor Building 604, 720 Rutland Avenue, Baltimore, MD 21205, USA.

Patients with chronic pelvic pain are usually evaluated and treated by
gynecologists, gastroenterologists, urologists, and internists. In
many patients with chronic pelvic pain the examination and work-up
remain unrevealing and no specific cause of the pain can be
identified. In these cases it is important to recognize that pain is
not only a symptom of pelvic disease, but that the patient is
suffering from a chronic pelvic pain syndrome. Once the diagnosis of
chronic pelvic pain is made, treatment should be directed to
symptomatic pain management. This article outlines treatment options
currently available. Despite the challenge inherent in the management
of chronic pelvic pain, many patients can be treated successfully
using a multidisciplinary pain management approach. The first
important step is to recognize that patients with chronic pelvic pain
might suffer from a chronic visceral pain syndrome.

PMID: 11252133 [PubMed - indexed for MEDLINE]

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