chronic%20pelvic%20pain
CHRONIC PELVIC PAIN
Chronic pelvic pain (CPP) is a persistent, distressing, & severe pain of >6 month duration.
It occurs intermittently, cyclically, or situationally.
Localized to the pelvis, anterior abdominal wall at or below the umbilicus, the lumbosacral back, or the buttocks.
It is severe enough to cause functional disability or need medical care.
In women, CPP is not restricted to intercourse or menstruation & is not associated w/ pregnancy.
It is a symptom w/ a number of contributory factors & not a diagnosis; pathophysiology is complex & not well understood.
It is assumed that in the development of chronic pain, the nervous system is affected among others by inflammatory & chemical mediators & hormones.
A complex problem that is both multifactorial & multidimensional
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  2. Engeler D, Baranowski AP, Borovicka J, et al. Guidelines on chronic pelvic pain. European Association of Urology (EAU). http://uroweb.org. 2014. Accessed 06 Nov 2014.
  3. Engeler DS, Baranowski AP, Dinis-Oliveira P, et al; European Association of Urology. 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 Sep;64(3):431-439. doi: 10.1016/j.eururo.2013.04.035. Accessed 06 Nov 2014. PMID: 23684447
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  7. Royal College of Obstetricians & Gynaecologists (RCOG). The initial management of chronic pelvic pain. Green-top guideline no. 41. RCOG. https://www.rcog.org.uk. May 2012. Accessed 06 Nov 2014.
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  12. Engeler D, Baranowski AP, Borovicka J, et al. EAU guidelines on chronic pelvic pain. European Association of Urology (EAU). http://uroweb.org. 2016. Accessed 09 Aug 2016.
  13. Hanno PM, Burks DA, Clemens JQ, et al. American Urological Association (AUA) guideline: diagnosis and treatment of interstitial cystitis/bladder pain syndrome. American Urological Association (AUA). https://www.auanet.org. 2014. Accessed 09 Aug 2016.
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