Open AccessChronic pelvic pain of unknown origin may be caused by loose uterosacral ligaments failing to support pelvic nerve plexuses – a critical review
Author(s) -
T. Enache,
Elvira Brătilă,
Burghard Abendstein
Publication year - 2020
Publication title -
central european journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.403
H-Index - 20
eISSN - 2080-4873
pISSN - 2080-4806
DOI - 10.5173/ceju.2020.0280
Subject(s) - medicine , uterosacral ligament , pelvic pain , sling (weapon) , surgery , randomized controlled trial , vagina
Chronic pelvic pain of unknown origin (CPPU) affects the quality of life (QoL) of up to 20% of women. The 2005 Cochrane Review, based on randomized controlled trials (RCTs), stated that the pathogenesis of CPPU is poorly understood and its treatment is empirical and ineffective. Totally ignored were the high cure rates from uterosacral ligament (USL) repair, the principal subject of this review.