![]() Yang J, Bauer BA, Wahner-Roedler DL, Chon TY, Xiao L. WHO’s pain ladder: World Health Organisation 2012. World Health Organization cancer pain relief program: network news. A comprehensive review of the diagnosis, treatment, and management of urologic chronic pelvic pain syndrome. 2003 101:594–611.Īdamian L, Urits I, Orhurhu V, Hoyt D, Driessen R, Freeman JA, et al. Obstet Gynecol Lippincott Williams and Wilkins. Prevalence of endometriosis during abdominal or laparoscopic hysterectomy for chronic pelvic pain. Mowers EL, Lim CS, Skinner B, Mahnert N, Kamdar N, Morgan DM, et al. 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. 2014 8(3):144–50.Įngeler DS, Baranowski AP, Dinis-Oliveira P, Elneil S, Hughes J, Messelink EJ, et al. Risk factors for chronic pelvic pain: hospital-based case-control study from Turkey. Gokyildiz S, Beji NK, Avcibay B, Ozgunen FT. Factors predisposing women to chronic pelvic pain: systematic review. Latthe P, Mignini L, Gray R, Hills R, Khan K. Chronic pelvic pain in women of reproductive and post-reproductive age: a population-based study. 2016 51:1070–1090.e9.Īyorinde AA, Bhattacharya S, Druce KL, Jones GT, Macfarlane GJ. ![]() Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. Van Den Beuken-Van Everdingen MHJ, Hochstenbach LMJ, Joosten EAJ, Tjan-Heijnen VCG, Janssen DJA. Outpatient laparoscopy for abdominal and pelvic pain in the United States 1994 through 1996. Drug-induced peripheral neuropathy, a narrative review. Jones MR, Urits I, Wolf J, Corrigan D, Colburn L, Peterson E, et al. Middle East Fertil Soc Jl Middle East Fertility Society. Chronic pelvic pain: pathogenesis and validated assessment. Yosef A, Ahmed AG, Al-Hussaini T, Abdellah MS, Cua G, Bedaiwy MA. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. Papers of particular interest, published recently, have been highlighted as: Evidence level is limited, and further RCTs could help provide better tools for evaluation and patient selection. Superior hypogastric plexus block provides long-lasting relief in many patients, regardless of approach. Interventional techniques provide an added layer of treatment as well as reduce the requirement for opioids. Current treatments can be helpful at times but may fall short of satisfactory pain relief. It is diagnosed clinically and is underdiagnosed globally. SummaryĬPP is a common debilitating condition. The injectate includes local anesthetic, steroids, and neurolytic agents such as phenol or ethanol. More recently, ultrasound and CT-guided procedures have also been described with similar success. ![]() Two approaches described so far, both under fluoroscopy, have seen similar results. ![]() Superior hypogastric plexus block is one of the available interventional techniques first described in 1990, it has been shown to provide long-lasting relief in 50–70% of patients who underwent the procedure. Interventional techniques provide an added tier of treatment and may help to reduce the requirement for chronic opioid use. Treatment includes physical therapy, cognitive behavioral therapy, and oral and parenteral opioids. The pathophysiology is often endometriosis (70%) and also includes PID, adhesions, adenomyosis, uterine fibroids, chronic processes of the GI and urinary tracts, as well as pelvic-intrinsic musculoskeletal causes. The diagnosis of chronic pelvic pain is clinical, consisting of mainly of a thorough history and physical and ruling out other causes. It is generally underdiagnosed and affects anywhere between 5 and 26% of women. This pain is often one of mechanical, inflammatory, or neuropathic. Several definitions exist for chronic pelvic pain (CPP), making the diagnosis more challenging for the clinician however, they commonly describe continuous pain lasting 6 months in the pelvis, with an overwhelming majority of patients being reproductive-aged women. It then presents the superior hypogastric block and reviews the seminal and most recent evidence about its use in chronic pelvic pain. It reviews the background, including etiology, epidemiology, and current treatment available for chronic pelvic pain. This is a comprehensive review of the superior hypogastric block for the management of chronic pelvic pain.
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