No abstract available.
Pelvic Pain*

No abstract available.
Pelvic Pain*

No abstract available.
Laparoscopy* ; Pelvic Pain*

PURPOSE: This study examined the effects of stretching and strengthening exercises on the pain, pelvic tilt (PT), functional disability, and balance of patients with chronic lower back pain (CLBP). METHODS: A total of 42 patients with CLBP were randomly divided randomly into either experimental group I (EG I, n=21), who received stretching exercise, or experimental group II (EG II, n=21), who received strengthening exercise. Both interventions were applied three times a week for eight weeks. Assessments were made with a visual analogue scale (VAS), PT, Oswestry disability index (ODI), and Berg's balance scale (BBS) before and after the eight weeks intervention period. A paired t-test was conducted to compare the within-group changes before and after the intervention. An independent t-test was used compare the between-group difference. The statistical significance level was set to α=0.05 for all variables. RESULTS: The EG I and II showed significant within-group changes in the VAS, PT, ODI, and BBS (p<0.05). The changes in VAS, PT, ODI, and BBS were similar regardless of the exercise form. CONCLUSION: In this study, the application of stretching and strengthening exercise for subjects who complain of CLBP was effective in changing the level of pain, PT, functional disability, and balance.
Exercise ; Humans ; Low Back Pain ; Pelvic Pain

Unicornuate uterus is a very rare uterine anomaly caused by developmetal failure of Mullerian duct. This anomay is associated with various degrees of rudimentary horn, which is connected with fibrous band or firmly attached to unicornuate uterus. Different method of operation may be applied according to type of anatomical connection. The unicornuate uterus is commonly associated with severe dysmenorrhea, chronic pelvic pain, and pelvic mass. A case of noncommunicating rudimentary horn firmly attached to unicornuate uterus with severe dysmenorrhea was treated with laparoscopic excison of uterine horn and is presented with brief review of literature.
Animals ; Dysmenorrhea ; Female ; Horns ; Pelvic Pain ; Uterus

Uterine leiomyomas cause some complications in pregnancy. Most common complication is red degeneration causing acute pelvic pain. Torsion of a uterine leiomyoma is rare but more frequent during pregnancy. It represents emergency surgery to improve symptoms and prevent complications such as consumptive coagulopathy. We have experienced a case of torsion of subserosal leiomyoma during 1st trimester of pregnancy managed using laparotomy and successfully delivered vaginally at fullterm period. So, we report the case with brief review of literatures.
Emergencies ; Laparotomy ; Leiomyoma ; Pelvic Pain ; Pregnancy

Chronic pelvic pain (CPP) is a common condition involving multiple, organ-specific medical specialties, each with its own approach to diagnosis and treatment. Management requires knowledge of the interplay between pelvic organ function and neuro-functional anatomy, and of the neurologic and psychological aspects of CPP, but no current specialty fully encompasses this approach. Neuropelveology is an emerging discipline focusing on pathologies of the pelvic nervous system on a cross-disciplinary basis. It involves a neurological/neurosurgical approach, combining the knowledge required for a proper neurologic diagnosis, confirmation by transvaginal/transrectal examination of the pelvic nerves, and advanced laparoscopic surgery in selected cases of CPP. The management of CPP requires multidisciplinary contributions, and neuropelveology may offer an educational framework for the interdisciplinary exchange of knowledge between clinical physicians and basic researchers.
Diagnosis ; Laparoscopy ; Nervous System ; Pathology ; Pelvic Pain*

No abstract available.
Pelvic Pain* ; Prostate* ; Ultrasonography, Doppler, Color*

Persistent and disabling pain is the hallmark of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). However, disease severity (as measured by objective indexes such as those that use radiography or serology) is only marginally related to patients' reports of pain severity, and pain-related presentation can differ widely among individuals with CP/CPPS. Increasing evidence in support of the biopsychosocial model of pain suggests that cognitive and emotional processes are crucial contributors to inter-individual differences in the perception and impact of pain. This review describes the growing body of literature relating depression and catastrophizing to the experience of pain and pain-related sequelae in CP/CPPS. Depression and catastrophizing are consistently associated with the reported severity of pain, sensitivity to pain, physical disability, poor treatment outcomes, and inflammatory disease activity and potentially with early mortality. A variety of pathways, from cognitive to behavioral to neurophysiological, seem to mediate these deleterious effects. Collectively, depression and catastrophizing are critically important variables in understanding the experience of pain in patients with CP/CPPS. Pain, depression, and catastrophizing might all be uniquely important therapeutic targets in the multimodal management of a range of such conditions.
Catastrophization ; Depression ; Humans ; Pelvic Pain ; Prostatitis

PURPOSE: The National Institute of Health (NIH) category III Chronic Nonbacterial Prostatitis/Chronic Pelvic Pain Syndromes (CPPS) are common disorders. However, there has been no consensus on how treatment should be planned for these patients. The purpose of this trial was to compare the efficacy of tamsulosin and ibuprofen in the treatment of CPPS patients. MATERIALS AND METHODS: Between June 2001 and May 2002, 117 patients were diagnosed, in our department, as noninflammatory CPPS (Category IIIb). The study comprised of 63 patients who were randomly placed into three groups as follows: group 1 tamsulosin, group 2 ibuprofen and group 3, both tamsulosin and ibuprofen. The tamsulosin and ibuprofen, or both, were given to the respective groups for 12 weeks. The NIH chronic prostatitis symptom index (NIH-CPSI) and uroflowmetry were evaluated both before and after the treatment. RESULTS: Before the treatment, the CPSI of the 40 patients who received tamsulosin was 18.43+/-6.60, and after was 13.00+/-6.07. For the ibuprofen group, the CPSI value before the treatment was 18.00+/-5.81, and after was 17.07+/-5.36. In the tamsulosin group, the difference between the pre- and post treatment CPSI values was statistically significant (p<0.001). Conversely, in the ibuprofen group, the difference was insignificant (p=0.106). After the treatment, the difference between the tamsulosin and ibuprofen groups was also statistically significant (p=0.039). The mean maximal urinary flow rate (Qmax) before the treatment in all patients was 15.49+/-4.82ml/sec. A significant increase in the Qmax was obtained in the tamsulosin group. CONCLUSIONS: Tamsulosin appeared effective for treating patients with noninflammatory CPPS. However, it was concluded that a 12 week treatment period was insufficient.
Consensus ; Humans ; Ibuprofen ; Pelvic Pain* ; Prostatitis