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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

2000 laparoscopies were performed between 1968 and 1975. 253 from 493 patients with unexplained pelvic pain were followed up a half till 5 years after laparoscopy concerning the pains. The discrepancy of clinical diagnosis and laparoscopie statement is compared and discussed. The most clinical diagnosis were: chronic pelvic pain (149 cases) and unexplained pelvic pain (32 cases). Postlaparoscopic findings were: inconspicuous statements (27,3%), pelvic adhesions (27,3%), chronic disease of the fallopian tubes (21,1%), chronic appendix diseases (10,3%), ovary cysts (9,8%), endometriosis (4,3%).52,9% of the patients were cured by specific treatment a half till 5 years after laparoscopy. The laparoscopy is considered to be a diagnostic and therapeutic acurate method. 14,2% of the patients with little or inconspicuous statements were cured after instruction. The laparoscopy may be the base for acurate diagnostic and team-work of several branches of knowledge.
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PMID:[Chronic lower abdominal complaints in the woman - a postlaparoscopic analysis]. 13 21

In 100 women who underwent laparoscopic sterilization approximately one year before a follow-up check including gynecological examination, a structurized interview and a "Maudsley Personality Inventory" (MPI) test were performed. 6% complained about algopareunia before the operation which did not disappear afterwards. In 8 patients algopareunia started after the operation, only 2 of them presenting pelvic adhesions at control, whereas 6 patients suffered from psychogenic algopareunia. Neurotic tendency was evidently elevated in all those patients complaining about pelvic pain before and after operation. 6 patients had pelvipathia nervosa, 14 showed organic alterations, but these were not necessarily the reason for the complaints. Laparoscopy revealed pathologic processes e.g. adhesions, pelvic varicosis or adnexitis in 27%, but not more than 11% of these patients with obvious pathology had subjective complaints. These findings underline the fact that pathologic alterations will not necessarily explain pelvic pains and that in most cases psychosomatic factors must be taken into consideration.
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PMID:[Organic changes and pain after laparoscopic tubal sterilization]. 124 Aug 36

Vaginal ultrasonography, done after the transcervical injection of isotonic saline into the cul-de-sac, is a new technique we named hydrogynecography. This was prospectively used in patients suffering from infertility and pelvic pain. In 84% of patients we were able to identify pelvic adhesions confirmed by laparoscopy. In 16% the procedure provided false-negative results.
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PMID:Hydrogynecography: a new technique enables vaginal sonography to visualize pelvic adhesions and other pelvic structures. 142 64

A multicenter, prospective trial was initiated to test the effectiveness and safety of the Nd:YAG laser equipped with artificial sapphire contact tips for the laparoscopic treatment of pelvic pain. Ninety-three women were enrolled in the study, 37 with endometriosis alone, 47 with endometriosis complicated by pelvic adhesions, and 9 women with adhesions alone. In over 90% of adhesions and 96% of endometriotic implants the Nd:YAG laser could be delivered to the site and be used to restore normal anatomy. The exception was deep bowel involvement with endometriosis, which was not treated. The majority of women had marked reduction or resolution of their symptoms for up to 12 months postoperatively. We conclude that the use of the Nd:YAG laser is an appropriate method to laparoscopically treat pelvic pain resulting from endometriosis or pelvic adhesions.
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PMID:Operative laparoscopy with the Nd:YAG laser in the treatment of endometriosis and pelvic adhesions. 183 Jun 32

Between April 1984 and April 1990, 20 patients with a mean age of 27.9 years underwent presacral neurectomy at The Royal Women's Hospital, Melbourne, Australia. Overall, 11 of the 19 patients (58%) assessable for follow-up were totally cured of pain and 8 (42%) were partially cured. The most common indication for presacral neurectomy was secondary dysmenorrhoea, usually in association with endometriosis or pelvic adhesions. In 4 patients with uterine dysmenorrhoea not associated with pelvic pathology the operation produced a complete cure. The general consensus of gynaecological opinion is that presacral neurectomy should still be reserved for a limited number of carefully selected patients in whom other methods of treatment have been exhausted. It is imperative that a prior psychological assessment should be undertaken whenever a functional component is suspected. Whilst pain of uterine origin may be cured by presacral neurectomy, lateral pelvic pain of adnexal origin requires ovarian sympathectomy.
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PMID:Presacral neurectomy--a reappraisal. 183 94

Prolonged intrauterine retention of fetal bone parts is a rare complication of induced abortion, spontaneous intrauterine fetal death, and missed abortion. Here, a case of long-term retention of fetal bone fragments in a 47-year-old Italian women who underwent elective abortion 8 years earlier is reported. The patient was admitted for acute pelvic pain with purulent vaginal discharge. She reported recurrent episodes of abdominal and pelvic pain, meteorism, dysuria, nausea and vomiting, headaches, and irregular cycles with dysmenorrhea and inter menstrual bleeding since the 1979 abortion. Initially, pelvic inflammatory disease was diagnosed and antiphlogistic drugs were prescribed. When symptoms persisted after 10 days of drug treatment, the patient underwent a laparotomy that revealed pyosalpinx with extensive pelvic adhesions. Total hysterectomy with bilateral adnexectomy was performed. The uterine cavity was found to be closely packed with fragments that were determined at stereomicroscopic examination to be pieces of fetal bone. Of particular concern is the potential of this complication to lead to secondary infertility. The retained bone fragments can function similarly to an IUD by producing an increase in the local insertion of prostaglandins and preventing blastocyst implantation. Moreover, the retained fragments are an ideal substrate for bacterial colonization, which can spread to the tubes and destroy the functional integrity of the reproductive apparatus. Retention of fetal bones should thus be considered as a possible etiologic factor in cases of infertility of women with a history of abortion.
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PMID:Prolonged retention of fetal bones: intrauterine device and extrauterine disease. 236 50

The presence of pelvic adhesions is implicated as a significant cause of pelvic pain, bowel obstruction and infertility in women. Laparoscopy has become an invaluable method for the evaluation and treatment of such adhesions. A prospective study was designed to correlate specific findings in the preoperative history and physical examination with the presence of adhesions seen at laparoscopy. Two hundred seventy-three consecutive patients undergoing laparoscopy were analyzed; pelvic adhesions were found in 99 (36.3%). At the time of laparoscopy the only historical predictor found to be associated with adhesive disease was previous pelvic surgery. Physical examination predictors associated with the presence of adhesions were uterine immobility, a right adnexal mass and right adnexal tenderness.
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PMID:Predictors of pelvic adhesions. 252 88

Products of the cyclooxygenase and lipoxygenase pathways of arachidonic acid metabolism were estimated in the cul-de-sac fluid from patients with endometriosis, pelvic adhesions and normal laparoscopic examinations, with and without chronic pelvic pain. No correlation between the symptoms, underlying diagnoses, and the concentrations of eicosanoids were observed.
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PMID:Peritoneal fluid eicosanoids in chronic pelvic pain. 255 65

An analysis of 35 cases of the residual ovary syndrome was performed retrospectively. In sixty percent of the patients, the residual ovary syndrome occurred within 5 years after the hysterectomy. The most common symptom of these patients was chronic pelvic pain. Extensive pelvic adhesions were the typical operative findings, while follicular cysts and corpus luteum hematoma were the common pathological findings of the residual ovaries. However, malignant changes were found in 4 cases. In this study, the probable incidence of the residual ovary syndrome was 2.3% which is compatible with other reports and the probable incidence of malignant change among patients with the preserved ovaries was 0.26% which is about the same as the general population. Because the conservation of normal ovarian function has great importance to the premenstrual woman, we suggest that the grossly normal ovaries should be conserved on premenstrual woman but should always be removed on postmenopausal woman when hysterectomy is done.
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PMID:The residual ovary syndrome. 280 89

Retrospective review of 100 consecutive laparoscopies for chronic pelvic pain and 88 for infertility was undertaken. Twenty-six of the 100 (26%) chronic pelvic pain patients and 34 of the 88 (39%) infertility patients exhibited pelvic adhesions as the only abnormal finding. Patients in each group with findings of pelvic adhesions were compared with respect to symptomatology, density of adhesions, and locations of adhesions. Only four of the 34 infertility patients in whom pelvic adhesions were found complained of pain. Comparison of the chronic pelvic pain patients and the asymptomatic infertility patients did not reveal a significant difference in the density or the location of adhesions. These findings question the role of pelvic adhesions as a cause of chronic pelvic pain.
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PMID:Adhesions and pelvic pain: a retrospective study. 294 7


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