Management of patients with chronic pelvic pain associated with endometriosis refractory to conventional treatment

Pain Practice : the Official Journal of World Institute of Pain
Blanca MartínezFernando Gilsanz

Abstract

The literature contains numerous studies on the diagnosis, pathogenesis, atypical locations, and clinical (hormonal) and surgical management of the disorder. However, no information is available on the management of endometriosis involving pain refractory to the usual treatment from the perspective of a pain unit. Our hospital has a pain unit specifically dedicated to pain in gynecology and obstetrics. The unit has been functioning since December 2005, and 52% of the attended patients have CPP of different origins. Endometriosis is present in 48% of all patients with CPP and is the most prevalent pathology in our practice. It moreover poses an important challenge in view of its enormous complexity. A descriptive study was made of the management of 44 patients with endometriosis refractory to therapy, evaluated and treated over a period of 3 years in the Pain Unit of the Maternity Center of La Paz University Hospital (Madrid, Spain).

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Citations

Jul 13, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·V GhaiUNKNOWN CHORUS: An International Collaboration for Harmonising Outcomes, Research, Standards in Urogynaecology, Women's Health
Dec 18, 2012·Pain Practice : the Official Journal of World Institute of Pain·Martine Puylaert
May 26, 2018·Scandinavian Journal of Pain·John JarrellKirk Stephenson
Nov 28, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Sepideh KhodaverdiMaryam Khodaverdi
Jul 16, 2021·Minerva Obstetrics and Gynecology·Alexis L NewmarkAnthony A Luciano

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