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Chronic pelvic pain; More than just the bladder
Medical Centre Leeuwarden, Netherlands.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
Leiden University Medical Center, Netherlands.
Antonius Hospital, Netherlands.
2024 (English)In: Current Opinion in Urology, ISSN 0963-0643, E-ISSN 1473-6586, Vol. 34, no 2, p. 69-76Article, review/survey (Refereed) Published
Abstract [en]

Purpose of reviewChronic pelvic pain is much of a burden to those who suffer from it. Additionally, in many patients medical doctors, such as urologists are unable to identify a cause or clear pathology that can explain the pain. Still numerous patients and doctors keep on searching for a cause, focussing particularly on the pelvic organs. Lots of diagnostics and treatment methods are used but often without success. In recent years, we have gained increased insight into the mechanisms of pain and adapted the terminology accordingly.Recent findingsTwo aspects of chronic pelvic pain have gained more attention. First, the myofascial aspects, especially the role of the pelvic floor muscles in maintaining the pain and as a therapeutic option. Second, the role of the brain and the psychological aspects intertwine with the pain and its consequences also open up for alternative management options. In terminology chronic pain is now included in the ICD-11, a historical change. Introducing chronic primary pain (no cause found) helps us to look away from the organ and deal with the patient as a whole human being.SummaryThe findings reported here are helpful for your daily practice. Looking from a broad perspective gives the patient the feeling of being seen and heard. Working together in a multidisciplinary team makes your work easier and gives more satisfaction.

Video abstracthttp://links.lww.com/COU/A44. 

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2024. Vol. 34, no 2, p. 69-76
Keywords [en]
Chronic Pain, Humans, Myofascial Pain Syndromes, Pelvic Pain, Pelvis, Urinary Bladder, bladder, chronic pain, complication, myofascial pain, psychology
National Category
Clinical Medicine
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-98903DOI: 10.1097/MOU.0000000000001134ISI: 001159083000007PubMedID: 37823725Scopus ID: 2-s2.0-85184520016OAI: oai:DiVA.org:kau-98903DiVA, id: diva2:1845600
Available from: 2024-03-19 Created: 2024-03-19 Last updated: 2025-02-18Bibliographically approved

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