Visual pain mapping in endometriosis

被引:5
作者
Renner, Stefan P. [1 ]
Boosz, Alexander S. [1 ]
Burghaus, Stefanie [1 ]
Maihoefner, Christian [2 ]
Beckmann, Matthias W. [1 ]
Fasching, Peter A. [1 ]
Jud, Sebastian M. [1 ]
机构
[1] Univ Erlangen Nurnberg, Erlangen Univ Hosp, Dept Gynecol & Obstet, D-91054 Erlangen, Germany
[2] Univ Erlangen Nurnberg, Erlangen Univ Hosp, Dept Neurol, D-91054 Erlangen, Germany
关键词
Endometriosis; Pain; Pain maps; Examination; DEEP-INFILTRATING ENDOMETRIOSIS; PELVIC PAIN; WOMEN; SYMPTOMS; SURGERY; STAGE; RISK;
D O I
10.1007/s00404-012-2369-4
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
To construct pain maps in order to describe the distribution of pelvic pain in a group of endometriosis patients and endometriosis-free patients, to assess the feasibility of this method. A total of 159 patients with pelvic pain who were scheduled for diagnostic laparoscopy. A total of 117 patients with and 42 patients without endometriosis were included. The pain distribution between these two patient groups appeared to differ in some peripheral anatomical structures. In the endometriosis patients, the pain was most frequently located in the rectouterine pouch. In endometriosis patients, pain mapping to assess preoperative pain sensations relative to the anatomic location of endometriotic lesions is feasible. The pain provoked by vaginal examination is frequently perceived as median relative to the actual anatomic location of the endometriotic lesions. Several anatomic and neurophysiological factors may explain this phenomenon.
引用
收藏
页码:687 / 693
页数:7
相关论文
共 33 条
[1]   Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain [J].
Ballard, Karen ;
Lane, Hazel ;
Hudelist, Gernot ;
Banerjee, Saikat ;
Wright, Jeremy .
FERTILITY AND STERILITY, 2010, 94 (01) :20-27
[2]   Preoperative Evaluation of Posterior Deep-Infiltrating Endometriosis Demonstrates a Relationship with Urinary Dysfunction and Parametrial Involvement [J].
Ballester, Marcos ;
Santulli, Pietro ;
Bazot, Marc ;
Coutant, Charles ;
Rouzier, Roman ;
Darai, Emile .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2011, 18 (01) :36-42
[3]  
Benjamin-Pratt A R, 2010, Minerva Ginecol, V62, P447
[4]   Adenovirus-Based Targeted Therapy for the Treatment of Endometriosis [J].
Breidenbach, M. ;
Schmidt, T. ;
Volkmer, A. ;
Rath, W. ;
Fleisch, M. C. ;
Maass, N. ;
Porn, A. ;
Hess, A. ;
Janni, W. ;
Rein, D. T. .
GEBURTSHILFE UND FRAUENHEILKUNDE, 2011, 71 (01) :59-66
[5]   Risk Factors for Endometriosis in a German Case-Control Study [J].
Burghaus, S. ;
Klingsiek, P. ;
Fasching, P. A. ;
Engel, A. ;
Haeberle, L. ;
Strissel, P. L. ;
Schmidt, M. ;
Jonas, K. ;
Strehl, J. D. ;
Hartmann, A. ;
Lermann, J. ;
Boosz, A. ;
Thiel, F. C. ;
Mueller, A. ;
Beckmann, M. W. ;
Renner, S. P. .
GEBURTSHILFE UND FRAUENHEILKUNDE, 2011, 71 (12) :1073-1079
[6]   ESTROGEN RECEPTORS BETA AND ALPHA HAVE SPECIFIC PRO- AND ANTI-NOCICEPTIVE ACTIONS [J].
Coulombe, M. -A. ;
Spooner, M. -F. ;
Gaumond, I. ;
Carrier, J. C. ;
Marchand, S. .
NEUROSCIENCE, 2011, 184 :172-182
[7]   The epidemiology of endometriosis [J].
Cramer, DW ;
Missmer, SA .
ENDOMETRIOSIS: EMERGING RESEARCH AND INTERVENTION STRATEGIES, 2002, 955 :11-22
[8]   The development and validation of the daily electronic Endometriosis Pain and Bleeding Diary [J].
Deal, Linda S. ;
DiBenedetti, Dana Britt ;
Williams, Valerie S. L. ;
Fehnel, Sheri E. .
HEALTH AND QUALITY OF LIFE OUTCOMES, 2010, 8
[9]   McGill Pain Questionnaire: A multi-dimensional verbal scale assessing postoperative changes in pain symptoms associated with severe endometriosis [J].
Fabbri, Elena ;
Villa, Gioia ;
Mabrouk, Mohamed ;
Guerrini, Manuela ;
Montanari, Giulia ;
Paradisi, Roberto ;
Venturoli, Stefano ;
Seracchioli, Renato .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2009, 35 (04) :753-760
[10]   Endometriosis and pelvic pain: Epidemiological evidence of the relationship and implications [J].
Fauconnier, A. ;
Fritel, X. ;
Chapron, C. .
GYNECOLOGIE OBSTETRIQUE & FERTILITE, 2009, 37 (01) :57-69