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Chronic pelvic pain (CPP) involves a list of deviations with persistent pain in the pelvic area as the main factor. Multiple pain syndromes exist for this, and, after assessment, the reason for the chronic symptoms often remains unclear. The exclusion of the origins or reasons for the pain that can be treated curatively is of the greatest importance. When no reasons for the pain can be found, or when the pain cannot be healed, symptomatic treatment will be necessary. The most successful treatment of CPP is a multidisciplinary approach, bringing together doctors, nurses, physical therapists, osteopaths, and psychologists. Chronic pain has an important impact on the quality of life and strong negative consequences on the psychologic and emotional state of the patient. In addition, the success of the (usually long-term) treatment is not easy to predict. Beginning with a general discussion, this book considers pain abnormalities in the most important parts of the small pelvis. It also discusses various treatments of these issues, and delves into the psychological approach to such pain.
This clinical guide offers much-needed assistance in pinpointing the c ause of acute, chronic, and recurring pelvic pain and recommends the m ost effective medical or surgical treatment for the pain and the under lying disorder. The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort . The section on diagnosis and treatments follows an organ-based appro ach, providing the most efficient, cost-effective way to "rule out" va rious causes of pelvic pain. Appendices include pain maps, pain diarie s, pain scales, and depression scales.
A practical manual on the treatment of pelvic pain, focusing on the many gynecological and non-gynecological causes of the condition.
Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.
The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progress in this field, such as the strongly subjective nature of the complaints, the frequent lack of correlation between them and objective findings, and the complexity of the psychosomatic interac tions involved. Although progress in our knowledge has been much slower than we would have wished, and although we are well aware of these many gaps, it was considered useful to gather in a book what we think we have learned during 3 decades of active interest in pain patients and pain problems in gynecologic practice and 12 years of supervision of a pain clinic in the Department of Obstetrics and Gynecology of Leuven University. As there are many differences between acute pain - clinical as well as experi mental - on the one hand and chronic pain symptoms on the other, it was felt preferable to limit the scope of this book essentially to chronic and recurrent pain in gynecologic practice. When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. I have been fortunate in obtaining the collaboration of Dr.
Pain is among the foremost complaints of women seeking gynecological consultation, yet the diagnosis is often limited to endometriosis. Chronic Pelvic Pain discusses how to diagnose a broad scope of underlying conditions presenting in relation to pelvic pain in women and their treatment. Starting with an anatomical review from a pain point of view, several chapters continue to explore specific conditions such as vulvodynia, the often overlooked painful bladder syndrome and pelvic inflammatory disease. Also covered are topics such as sexual dysfunction, psychological aspects of chronic pelvic pain and alternative treatment methods. Practical treatment tips for specific conditions which are readily applicable in everyday practice are provided throughout. Special attention is given to the use of sonography and MRI in diagnostics. With its comprehensive approach, addressing both body and mind, this is essential reading for medical specialists and consultants and specialist medical trainees in gynecology, pain medicine, and family practice.
Chronic pelvic pain (CPP) involves a list of deviations with persistent pain in the pelvic area as the main factor. Multiple pain syndromes exist for this, and, after assessment, the reason for the chronic symptoms often remains unclear. The exclusion of the origins or reasons for the pain that can be treated curatively is of the greatest importance. When no reasons for the pain can be found, or when the pain cannot be healed, symptomatic treatment will be necessary. The most successful treatment of CPP is a multidisciplinary approach, bringing together doctors, nurses, physical therapists, osteopaths, and psychologists. Chronic pain has an important impact on the quality of life and strong negative consequences on the psychologic and emotional state of the patient. In addition, the success of the (usually long-term) treatment is not easy to predict. Beginning with a general discussion, this book considers pain abnormalities in the most important parts of the small pelvis. It also discusses various treatments of these issues, and delves into the psychological approach to such pain.
Chronic Prostatitis is a common and debilitating condition affecting 5-12% of men worldwide. The most common form is category III, or Chronic Pelvic Pain Syndrome. Cutting-edge clinical research has led to advancements in the diagnosis and treatment of prostatitis, a group of conditions that is at once extremely common, poorly understood, inadequately treated and under-researched. In Chronic Prostatitis/Chronic Pelvic Pain Syndrome, the author provides today’s most current information covering the four categories of prostatitis (acute, chronic bacterial, CPPS and asymptomatic inflammation). A diverse international group of contributors that includes urologists (academic, primary care and front line private practice), scientists, psychologists, and pain specialists from the National Institutes of Health provide the reader with novel approaches to helping their patients. The chapters in this important new work cover general evaluation of the prostatitis patient, the approach to acute prostatitis, chronic bacterial prostatitis and chronic pelvic pain syndrome, evidence behind individual therapies and ancillary topics such as erectile dysfunction, infertility, the link between chronic prostatitis and prostate cancer, male interstitial cystitis and the potential etiologic role of calcifying nanoparticles. Chronic Prostatitis/Chronic Pelvic Pain Syndrome offers novel approaches to diagnosing this condition as well as providing ways in which to ease the suffering of the patient with prostatitis.
This time honoured classic has been re-built completely: after sixeditions the editor has decided that a radical revision isnecessary. The new edition has been developed as a result ofintensive consultation with trainees in OB/GYN as to what theywant, what they need and how they learn. The book is organised into two halves covering obstetrics andgynaecology. Within each, the chapters are structured into sectionscontaining pedagogic features such as boxes, highlights and keypoints for the first time. It contains everything the clinicianneeds to practice the art of obstetrics and gynaecology andsufficient information to help sub-specialists develop theirspecific interests. This text is recommended reading for the RoyalCollege of Obstetrics and Gynaecology membership examination. This seventh edition contains 21 new chapters: Anatomy of the Pelvis and Reproductive Tract Placenta and Fetal Membranes Antenatal Care Anaesthesia and Analgesia Recurrent Miscarriage Ectopic Pregnancy Trophoblastic Disease Genetics and Prenatal Diagnosis Drugs and Pregnancy Obstetric Emergencies Prolonged Pregnancy Renal Disease Termination of Pregnancy Imaging in Gynaecology PMS Assisted Reproduction Hysteroscopy and Laparoscopy Sexual Dysfunction Psychological Aspects of Pregnancy Domestic Violence and Sexual Assault - now on MRCOG curriculum Ethical Dilemmas This seventh edition has been significantly updated with a widerange of internationally renowned contributors who are all expertsin their field, bringing this book to the cutting edge of knowledgein obstetrics and gynaecology. "It was my favourite textbook when I was working for myexaminations and I am still using it. I can recommend this editionto current trainees wholeheartedly. It is certainly worth buying."Journal of Obstetrics and Gynaecology
This text is designed for those clinicians who feel comfortable diagnosing these illnesses and wish to enhance their knowledge base and skill set regarding treatment options. Referrals for pelvic pain are common in urological and gynaecological practice; and may lead to varied diagnoses such as interstitial cystitis/bladder pain syndrome, chronic prostatitis/chronic pelvic pain syndrome, pelvic floor dysfunction, chronic orchialgia, and vulvodynia. To make matters more complex, each of these conditions is frequently associated by co-morbidities. The text is unique in being organized by the multiple and multifaceted therapies that are available, rather than by specific disorders. The text is richly illustrated with multiple diagrams, figures, and tables, making it the “go to” and “how to” reference for patient treatment.