Update in Diagnosis and Treatment of Chronic Pelvic Pain Syndromes

被引:1
作者
Shah N. [1 ]
Ginzburg N. [1 ]
Morrissey D. [1 ]
Whitmore K. [2 ]
机构
[1] Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Drexel University College of Medicine, 207 North Broad St, 4th floor, Philadelphia, 19107, PA
[2] Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Drexel University College of Medicine, Pelvic and Sexual Health Institute, 207 North Broad St, 4th floor, Philadelphia, 19107, PA
关键词
Chronic pelvic pain; Chronic prostatitis; Interstitial cystitis; Pelvic floor dysfunction; Sexual dysfunction; Vulvar pain disorder;
D O I
10.1007/s11884-015-0302-y
中图分类号
学科分类号
摘要
The diagnosis and treatment of chronic pelvic pain have shifted from organ-specific to multifactorial, multidisciplinary, and individualized approach. While many organizations have had diverse outlooks on classification and treatment plans, new research has identified varied clinical phenotypes and updated classification systems. These phenotypes are based on pain, gender, symptomatology, and comorbid pain syndromes. These new classification systems allow a multimodal therapeutic approach and evaluation of patients. Multidisciplinary care, including urology, gynecology, gastroenterology, neurology, psychology, physiotherapy, and pain medicine, is also further recognized for adequate management of patients with chronic pelvic pain because of its variable etiology. The purpose of this review is to emphasize these changes and discuss management strategies. © 2015, Springer Science+Business Media New York.
引用
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页码:198 / 206
页数:8
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