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Pelvic chronic pain

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https://www.readbyqxmd.com/read/29664545/pcr-diagnostics-of-chlamydia-trachomatis-in-asymptomatic-infection-by-women
#1
Magdalena Frej-Mądrzak, Anna Gryboś, Marian Gryboś, Dorota Teryks-Wołyniec, Agnieszka Jama-Kmiecik, Jolanta Sarowska, Irena Choroszy-Król
OBJECTIVES: Chlamydial infection is often asymptomatic. The lack of symptoms may result in the infection developing into a chronic. Chlamydial infections of the genitourinary system in women can lead to serious complications like PID, fallopian tubes infertility, ectopic pregnancy, and chronic pelvic pain. An infection of the genitourinary system does not cause any lasting immune resistance and does not protect against re-infection. The aim of this research was to conduct tests for Chlamydia trachomatis on healthy women without any genital system symptoms and to estimate the frequency of asymptomatic infections...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29649477/involvement-of-prostatic-interstitial-cells-of-cajal-in-inflammatory-cytokines-elicited-catecholamines-production-implications-for-the-pathophysiology-of-chronic-prostatitis-chronic-pelvic-pain-syndrome-cp-cpps
#2
Jiangping Wang, Bo Zhang, Yong Jiao, Zhibin Xu, Biao Qian, Qinzhang Wang
In a previous work using guinea pig prostate, we have identified a novel interstitial cells of Cajal (ICCs) which possess close contacts between sympathetic nerve bundles and smooth muscle cells. The ability of prostatic ICCs in mediating excitatory neural inputs was therefore studied using isolated murine prostate ICCs by collagenase digestion combined with FACS method. RT-PCR and Western blotting analyses revealed that prostatic ICCs under a quiescent state expressed abundantly the rate-limiting enzymes essential for catecholamine synthesis...
April 9, 2018: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/29642800/the-usefulness-of-cd34-pcna-immunoreactivity-and-histopathological-findings-for-prediction-of-pain-persistence-after-the-removal-of-endometrioma
#3
Akin Usta, Gulay Turan, Eren Altun, Meryem Hocaoglu, Cagla Bahar Bulbul, Ertan Adali
Endometriosis is an estrogen-dependent inflammatory disease that causes infertility and chronic pelvic pain. Ovarian endometrioma is the most common form of endometriosis, and conservative surgery is the main preferred therapeutic approach for endometrioma-associated symptoms. The aim of this study was to investigate the persistence of cyclic and noncyclic pelvic pain (NCPP) after endometrioma excision and their relationship to clinical and histopathological findings. In this prospective observational study, 41 symptomatic patients were evaluated for the presence of pain symptoms 3 to 6 months after endometrioma excision...
January 1, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/29622704/mucinous-adenocarcinoma-arising-from-chronic-perianal-fistula-mimicking-horseshoe-abscess
#4
Surya Nandan Prasad, Abdul Razik, Farhana Siddiqui, Hira Lal
Perianal fistulae are commonly seen clinical entity. Development of malignancy within a perianal fistula is rare. Even rarer is the development of mucinous adenocarcinoma in a chronic fistula-in-ano. Only a handful of such cases have been reported in the past. A case of mucinous adenocarcinoma arising in chronic perianal fistula in a 34-year-old woman is being described. She presented with complaints of perineal fullness, pain and recurrent pus discharge from perianal fistula for 4 years. On radiological workup, a large solid-cystic pelvic mass was seen in relation to the fistula...
April 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29621041/transvaginal-trigger-point-injections-improve-pain-scores-in-women-with-pelvic-floor-hypertonicity-and-pelvic-pain-conditions
#5
Jamie Bartley, Esther Han, Priyanka Gupta, Natalie Gaines, Kim A Killinger, Judith A Boura, Morgan Farrah, Jason Gilleran, Larry T Sirls, Kenneth M Peters
OBJECTIVES: Chronic pelvic pain in women often requires multimodal treatment regimens. We describe our method of transvaginal trigger point injections (TPIs) and report outcomes using change in pain scores. METHODS: This was a retrospective review of women treated with in-office pelvic floor muscle injections from January 2012 to August 2015. Lidocaine 1% and 2%, bupivacaine 0.5%, or ropivacaine 0.5% with or without the addition of triamcinolone 40 mg was used for the injections...
April 4, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29620591/a-new-comorbidity-in-female-patients-with-ankylosing-spondylitis-pelvic-organ-prolapse
#6
Mehmet Çağlayan, Pelin Oktayoğlu, Elif Ağaçayak, Abdullah Zübeyir Dagli, Mehmet Okçu, Kemal Nas
AIM: The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS). METHODS: Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study...
March 19, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29617576/current-understanding-on-pharmacokinetics-clinical-efficacy-and-safety-of-progestins-for-treating-pain-associated-to-endometriosis
#7
Fabio Barra, Carolina Scala, Simone Ferrero
Introduction Endometriosis is a chronic estrogen and progestogen responsive inflammatory disease associated with pain symptoms and infertility. The medical therapy of endometriosis aims to induce decidualization within the hormonally dependent ectopic endometrium, and it is often administered to ameliorate women' pain symptoms or to prevent post-surgical disease recurrence. A variety of progestins have been used in monotherapy for the medical management of women with endometriosis. Areas covered This review aims to offer the reader a complete overview of pharmacokinetic (PK) and clinical efficacy of progestins for the treatment of endometriosis...
April 4, 2018: Expert Opinion on Drug Metabolism & Toxicology
https://www.readbyqxmd.com/read/29610611/acupuncture-treatment-of-subfertility-and-ovarian-endometrioma
#8
Jihe Zhu, Blagica Arsovska, Andrijana Sterjovska-Aleksovska, Kristina Kozovska
BACKGROUND: Ovarian endometriotic cysts, also known as 'chocolate' cysts or ovarian endometriomas, appear as endometrial tissue outside the uterine cavity which grows inside ovaries. Endometriotic cysts can cause chronic pelvic pain, dysmenorrhea, dyspareunia, impairment of ovarian function in regards to subfertility, etc. Traditional Chinese Medicine (TCM) is effectively treating subfertility associated with endometriosis for years, and the treatment gives positive results in achieving pregnancy...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29609914/an-online-cross-sectional-comparison-of-women-with-symptoms-of-persistent-genital-arousal-painful-persistent-genital-arousal-and-chronic-vulvar-pain
#9
Robyn A Jackowich, Leah Pink, Allan Gordon, Évéline Poirier, Caroline F Pukall
BACKGROUND: Persistent genital arousal disorder (PGAD) is an understudied condition characterized by unwanted physiologic genital arousal in the absence of subjective sexual arousal. Markos and Dinsmore (Int J STD AIDS 2013;24:852-858) theorized that PGAD shares a number of similarities with vulvodynia (unexplained chronic vulvar pain [CVP]), including symptom characteristics and comorbidities. AIM: To compare medical histories, symptom characteristics, pain characteristics, and daily functioning among women with persistent genital pain (PGA) (n = 42), painful PGA (n = 37), and CVP (n = 42) symptoms...
April 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29609032/surgical-excision-versus-ablation-for-superficial-endometriosis-associated-pain-a-randomized-controlled-trial
#10
Kristin Riley, Andrea Benton, Timothy A Deimling, Allen R Kunselman, Gerald J Harkins
STUDY OBJECTIVE: To compare surgical excision and ablation of endometriosis for treatment of chronic pelvic pain. DESIGN: Canadian task force Category I - randomized clinical trial with 12-month follow-up. SETTING: Single academic tertiary care hospital. PATIENTS: Women with minimal to mild endometriosis undergoing laparoscopy. INTERVENTIONS: Excision or ablation of superficial endometriosis at the time of robot-assisted laparoscopy...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29604315/physical-examination-for-men-and-women-with-urological-chronic-pelvic-pain-syndromes-a-mapp-network-study
#11
Claire C Yang, Jane L Miller, Adam Omidpanah, John N Krieger
OBJECTIVES: To examine the feasibility of implementing a standardized, clinically relevant genitourinary examination for both men and women and to identify physical examination findings characteristic of urological chronic pelvic pain syndromes (UCPPS). METHODS: This study analyzed two samples: men and women with UCPPS who participated in the MAPP Research Network Epidemiology and Phenotyping (EP) Study, and age-matched controls who were either positive for chronic fatigue syndrome or healthy (pain-free)...
March 28, 2018: Urology
https://www.readbyqxmd.com/read/29595670/acupuncture-for-chronic-pelvic-inflammatory-disease-a-systematic-review-protocol
#12
Ying Cheng, Youcai Yuan, Yuhao Jin, Na Xu, Taipin Guo
BACKGROUND: Chronic pelvic inflammation disease (PID) is a difficult-to-treat gynecological disorder with complex etiologies. Acupuncture has been applied widely for treating chronic pelvic inflammation or chronic pelvic pain symptoms in China. The aim of this review is to undertake a systematic review to estimate the effectiveness and safety of acupuncture on chronic PID. METHODS: A literature search will be conducted electronically with date up to October 2018 in MEDLINE, Cochrane Library, EBASE, and CNKI databases, using combination subject terms of chronic pelvic pain (or chronic pelvic inflammation, and chronic pelvic pain symptoms, etc...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29595277/-the-role-of-magnetic-resonance-imaging-in-diagnostics-of-axial-spondyloarthritis
#13
Martin Žlnay
Axial spondyloarthritis (SpA) is a chronic inflammatory rheumatic disorder that primary affects axial skeleton. It comprises wide spectrum of patients with immune mediated spine inflammation, from early, so called non-radiographic axial spondyloarthritis to clinically evident ankylosing spondylitis. Conventional radiography is still the cornerstone of diagnosis, evaluation and classification of SpA. However, it has limitations in early disease, because it can only depict the consequences of inflammation for its inability to visualize soft tissue abnormalities within bone marrow...
2018: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29593873/post-transplant-lymphoproliferative-disorder-of-the-bladder-in-a-lung-transplant-recipient
#14
Harpreet Singh Grewal, Charles Lane, Kristin B Highland, Olufemi Akindipe, Marie Budev, Atul C Mehta
Post-transplant lymphoproliferative disorder (PTLD) occurs in ~5% of solid organ and hematopoietic stem cell transplant recipients. We report a unique presentation of PTLD in the bladder of a lung transplant recipient. Our patient was a 62-year-old female who received a bilateral lung transplant for chronic obstructive pulmonary disease. She presented with fever, left-sided flank pain and foul-smelling urine consistent with urosepsis. An abdominal and pelvic computerized tomography revealed an irregular and nodular bladder wall thickening suspicious for urothelial neoplasm...
March 2018: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29589778/physiotherapy-management-of-patients-with-chronic-pelvic-pain-cpp-a-systematic-review
#15
Susanne G R Klotz, Mila Schön, Gesche Ketels, Bernd Löwe, Christian A Brünahl
INTRODUCTION: Chronic pelvic pain (CPP) is a common pain condition. However, treatment remains challenging. Musculoskeletal findings are frequent; therefore physiotherapy might be helpful. The purpose of this review was to evaluate the current evidence on physiotherapy in patients with CPP (PROSPERO registration number CRD42016037516). METHODS: Six databases were searched and additional hand searches were performed. Two reviewers independently conducted the database search and selected studies using a two-step approach...
March 28, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29589403/imaging-in-polymyalgia-rheumatica
#16
N Possemato, C Salvarani, N Pipitone
Polymyalgia rheumatica (PMR) is a chronic, inflammatory disorder of unknown cause clinically characterized by pain and prolonged morning stiffness affecting the shoulders and often the pelvic girdle and neck. Imaging has substantially contributed to defining PMR as a disease mainly involving extra-articular structures. This review article analyses the role of the different imaging techniques in the diagnosis and follow-up of patients with PMR with particular emphasis on the role of ultrasound, PET/CT and MRI...
March 27, 2018: Reumatismo
https://www.readbyqxmd.com/read/29589402/the-role-of-the-general-practitioner-and-the-out-of-hospital-public-rheumatologist-in-the-diagnosis-and-follow-up-of-patients-with-polymyalgia-rheumatica
#17
A Sobrero, C Manzo, A Stimamiglio
Polymyalgia rheumatica (PMR) is a chronic inflammatory disease characterized by shoulder and pelvic girdle pain. Its onset peaks around the age of 75; the prevalence increases until the age of 90 and it is more frequent in females. Diagnosis is mostly performed on the basis of symptoms. An increase of serum inflammatory markers is indicative, but not essential, while therapy is mainly based on glucocorticoids. Since there is no universal agreement about diagnostic criteria for PMR, its detection is still difficult...
March 27, 2018: Reumatismo
https://www.readbyqxmd.com/read/29587728/anatomical-landmarks-of-the-intra-pelvic-side-wall-as-sources-of-pain-in-women-with-and-without-pregnancy-related-chronic-pelvic-pain-after-childbirth-a-descriptive-study
#18
Thomas Torstensson, Stephen Butler, Anne Lindgren, Magnus Peterson, Lena Nilsson-Wikmar, Margaretha Eriksson, Per Kristiansson
BACKGROUND: Chronic pelvic pain (CPP) affects 15-24% of women and can have a devastating impact on quality of life. Laparoscopy is often used in the investigation, although in one third of the examinations there is no visible pathology and the women may be dismissed without further investigation. Also, the contribution of skeletal, muscular, periosteal and ligamentous tissues to CPP remains to be further elucidated. The objective of the present study was to compare pain intensity provoked from anatomical landmarks of the intra-pelvic side-wall in women with pregnancy-related CPP after childbirth and women without such pain...
March 27, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29582185/neuromodulation-for-chronic-pelvic-pain
#19
REVIEW
Justina Tam, Charles Loeb, Daniel Grajower, Jason Kim, Steven Weissbart
PURPOSE OF REVIEW: Chronic pelvic pain is a heterogeneous condition that often requires multiple physician visits and various treatments prior to achieving an acceptable management strategy. Neuromodulation has been used to treat chronic pelvic pain that has failed other therapies. RECENT FINDINGS: Numerous modalities of neuromodulation have been used to alleviate chronic pelvic pain with promising results. Numerous modalities of neuromodulation have demonstrated efficacy in the management of pelvic pain...
March 26, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29581014/magnetic-resonance-neurography-in-chronic-lumbosacral-and-pelvic-pain-diagnostic-and-management-impact-institutional-audit
#20
Riham Dessouky, Yin Xi, Kelly M Scott, Mohammed Khaleel, Kevin Gill, Stephanie Jones, Dalia N Khalifa, Hazim I Tantawy, Magdy A Aidaros, Avneesh Chhabra
BACKGROUND: / purpose: Low back and pelvic pain are among the most prevalent conditions worldwide, with major social and economic costs. The aim of this study was to evaluate the role of Magnetic Resonance Neurography (MRN) of lumbosacral plexus in the management and outcomes of these chronic pain patients. METHODS: Consecutive patients with chronic lumbosacral and pelvic pain referred for MRN over a year were included. Pre-and post-imaging clinical diagnosis and treatment, pain levels and location were recorded...
March 23, 2018: World Neurosurgery
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