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Management of Patients with Chronic Pelvic Pain Associated with Endometriosis Refractory to Conventional Treatment
Author(s) -
Martínez Blanca,
Canser Enrique,
Gredilla Elena,
Alonso Eduardo,
Gilsanz Fernando
Publication year - 2013
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2012.00559.x
Subject(s) - endometriosis , medicine , pelvic pain , refractory (planetary science) , obstetrics and gynaecology , unit (ring theory) , pain management , physical therapy , pregnancy , gynecology , surgery , physics , mathematics education , mathematics , astrobiology , biology , genetics
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).