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

The paper is a review of the surgical treatment of women intrapelvic endometriosis with attention to the extent of the intervention, the selection of appropriate procedure and employment different techniques and innovations in surgical therapy. Principles of the management of deep infiltrating endometriosis, methods of relieve the pelvic pain and the prevention of postoperative adhesion are also discussed.
Ginekol Pol 2001 May
PMID:[Surgical treatment of intrapelvic endometriosis]. 1152 54

In a number of pregnant women benign ovarian cysts are found incidentally during routine ultrasound examination or after episode of pelvic pain in early pregnancy. In this paper we present perinatal outcome in pregnancies with ovarian cysts after fine needle aspiration or excision during laparotomy. These cases suggests the transabdominal needle aspiration is procedure of choice in ovarian hyperstimulation syndrome and excision during laparotomy is recommended in the case of spontaneous hyperreactio luteinalis or cystadenomas.
Ginekol Pol 2002 Apr
PMID:[Evaluation of ovarian cysts by means of transabdominal fine needle aspiration or laparotomy in pregnant women]. 1215 87

We report an unusual case of adenomyosis with asymptomatic thoracic endometriosis. A 30-year old woman had a history of nephroblastoma, two missed abortions and one childbirth by caesarean section. The pregnancy was complicated with asymmetric fetus hipotrophy. Two years after delivery she had assessments for dysmenorrhea, dyspareunia, pelvic pain, and anemia. Gynaecological examination and pelvic endovaginal ultrasonography revealed enlarged uterus. Tumour structure was found with diameter ranging from 40 to 63 mm. The round focus with diameter 15 mm in the left lung by chest roentgenogram was revealed. The patient was diagnosed as follows: hysterography, curettage, bronchoscopy, laparoscopy. Hysterectomy without adnexes was performed and tumour of the left lung was resected. Histologic diagnosis revealed adenomyosis of uterine body and parenchymal pulmonary endometriosis. Two years after operations patient alive without sings of disease.
Ginekol Pol 2003 Jan
PMID:Unusual case of adenomyosis of the uterine body with malignant clinical course. 1271 40

Uterine artery embolization is a new method of treating uterine leiomyomata, first carried out in France in the early 90s. The procedures involve placing a small catheter into an artery in the groin and directing it to the blood supply of the fibroid. Little plugs of polyvinyl alcohol are injected through the catheter to block these arteries. This cause the fibroid to shrink. Indications for uterine fibroid embolization include menorrhagia, pelvic pain or pressure, other "bulk" syndrome (low-back pain, urinary frequency and constipation. The fluoroscopic-guided procedure is performed under local anesthesia. Most patients are discharged within 72 hours. Post-embolization syndrome including severe pain is managed with morphine via patient-controlled pump. Paper reviews long term outcomes. Uterine artery embolization has several advantages: high efficacy, less invasiveness, ability to treat multifocal changes, uterine preservation, shorter hospitalisation and recovery (low cost) and disadvantages: postembolic syndrome (pain and fever), unknown relations to pregnancy and lack of long term results.
Ginekol Pol 2003 Jan
PMID:[Uterine arteries embolization as a treatment of uterine leiomyoma]. 1271 43

Sclerosing stromal tumor of the ovary (SST) is an extremely rare neoplasm occurring predominantly in the second and third decades of life. It is a distinct benign neoplasm that differs from fibromas, thecomas, luteinized tumors and lipoid cell tumors. It presents most often with non-specific symptoms. We describe the case of a 30-year-old woman who developed menstrual irregularities and pelvic pain. She was diagnosed and treated operatively at our Department. During surgery, a benign tumor was found in the right ovary. Light microscopic and ultrastructural study confirmed the diagnosis of sclerosing stromal tumor of the ovary.
Ginekol Pol 2005 Jun
PMID:[Sclerosing stromal tumor of the ovary in a 30-year-old woman. A case report and review of the literature]. 1614 65

Endometriosis is the most common cause of chronic pelvic pain in adolescent girls (50-70%), unresponsive to treatment of oral contraceptives and non-steroidal anti-inflammatory drugs. The most common symptoms of the disease are: acquired or progressive dysmenorrhea, acyclic and cyclic pain, dyspareunia (in sexually active girls), urological symptoms and gastrointestinal complaints. When evaluating an adolescent with suspected endometriosis, a gynecological examination (rectal or vaginal examination) and imaging studies (ultrasonography, magnetic resonance) should be performed. Moreover, in diagnostic process laparoscopy should be carried out in all girls and teenagers with chronic pelvic pain unresponsive to medical treatment. Initial therapy of endometriosis in adolescent girls involves: surgical methods (laparoscopy/laparotomy), hormonal pharmacotherapy (combined contraceptives, progestin-only protocols), GnRH agonists (adolescents over 16 years of age), non-steroidal anti-inflammatory drugs, alternative pain therapies and psychotherapy. Early diagnosis and treatment during adolescence may decrease disease progression and prevent subsequent infertility.
Ginekol Pol 2008 Feb
PMID:[Endometriosis in pediatric and adolescent gynecology]. 1851 93

Endometriosis is a common disease concerning 5-10% of women at reproductive age. It may cause sterility and decrease the quality of life. The best known symptoms are dysmenorrhea, dyspareunia, chronic pelvic pain and pain related to ovulation. Endometriosis is a chronic illness which, so far can not be completely cured. Clinical treatment is focused on decreasing symptoms, improving the quality of life, inhibition of endometrial focuses, sustaining sterility and preventing recurrences. Most of the time clinical treatment is not limited only to one possibility but usually joins a few therapeutic options. One of the possibilities is the surgical treatment, usually laparoscopic. Conservative treatment may be its completion. The main medical aim of conservative treatment is to decrease pain by inhibition of inflammation and to reduce or arrest the production of cyclic ovarian hormones, what usually leads to amenorrhea. Drugs used in conservative treatment of endometriosis are often connected with numerous side effects, constituting a serious limitation of a long-term therapy. That is the reason why much research concentrates on finding the optimal medical procedures for patients with endometriosis.
Ginekol Pol 2012 Mar
PMID:[Conservative treatment of endometriosis]. 2256 97

Changes in body posture, musculoskeletal disorders and somatic dysfunctions are frequently observed during pregnancy especially ligament, joint and myofascial impairment. The aim of the paper is to present the use of osteopathic manipulative treatment (OMT) for back and pelvic pain in pregnancy on the basis of a review of the available literature. MEDLINE and Cochrane Library were searched in January 2014 for relevant reports, randomized controlled trials, clinical and case studies of OMT use in pregnant women. Each eligible source was verified and analyzed by two independent reviewers. OMT procedures appear to be effective and safe for pelvic and spinal pain management in the lumbosacral area in pregnant women.
Ginekol Pol 2015 Mar
PMID:Application of osteopathic manipulative technique in the treatment of back pain during pregnancy. 2592 Mar 14

The reported number of cesarean sections in Poland is approximately 30% and is associated with increasing number of early and late complications. The myometrial discontinuity at the site of previous cesarean section is known in the literature as "isthmocoele", "niche", "pouch" or cesarean scar defect. In most cases presence of isthmocoele has no clinical significance, but in some patients it may cause abnormal uterine bleeding, dysmenorrhea, dyspareunia, pelvic pain or be associated with secondary infertility. This defect may be treated by laparoscopy, hysteroscopy or vaginal surgery.
Ginekol Pol 2016
PMID:When and how should we treat cesarean scar defect - isthmocoele? 2772 75

Uterine fibroids are the most common benign tumors of the uterus. Their main symptoms are prolonged menstrual bleeding, leading over time to a secondary anemia, bleeding and spotting between periods, pelvic pain and infertility. It is recognized that fibroids are the most common indication for surgery in gynecology. Currently radical surgical treatment of fibroids is abandon. Ulipristalu acetate is used in pharmacological treatment. This medicine reduces the growth of fibroids. New non-invasive technique is also MR-guided focused ultrasound surgery using thermal tissue destruction by focusing ultrasound beam. Ability to avoid the often crippling surgery makes conservative methods increasingly popular.
Pol Merkur Lekarski 2016 Dec 22
PMID:[New methods of uterine fibroids treatment]. 2802 36


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