Vasallo CVJ, Arjona FS, Fernández RY, Rondón AJ, Quevedo ÁL

Language: Spanish
References: 18
Page: 6-14
PDF size: 289.96 Kb.

ABSTRACT

Introduction: the pelvis pain is a frequent entity in women, though it is not a process only for women because men can suffer from pelvis pains.
Objective: to identify the behavior of chronic pelvis pain in women from the institution where the study is carried out.
Methods: a study was carried out in patients assisted in the chronic pain consultation at Dr Luís Díaz Soto Hospital between April 2011 y April 2012. Patients referred to the chronic pain consultation were included in the study which was evaluated making use of a principal instrument for the measurement of the analogical visual scale (EVA). Likewise, a multimodal treatment was applied with analgesics, anti-inflammatories, smooth muscle relaxer, anti-depressive and ozone.
Results: 114 patients were included. The chronic pelvis pain appeared in 114 women with an average age of 26 years. 61 had previous antecedents of the inflammatory disease and 45 with a previous gynecology surgery. As contributor causes the use of mono analgesic therapy was found, the insufficient dosage and the chrono pharmacotherapy (schedule). The use of a combination of opiums - anti inflammatories non steropids - anti depressives - ozone, managed to alleviate in most of the patients (98 for a 85,96 %). The undesirables effects associated to agents employed prevailed the use of tramadol (nauseas) and anti inflammatories non steroids (epigastralgia), without determining the suspension of the treatment.
Conclusion: the chronic pelvis pain is frequent in young women associated to the pelvis inflammatory disease, inefficient treatments are a contributing frequent cause and the multimodal therapy offered adequate results with few undesirable effects.

REFERENCES

1. Wesselmann U, Czakanski PP. Pelvic pain: a chronic visceral pain syndrome. >Curr Pain Headache Rep. 2001; 5(1):13-9.

2. Wysocki S. An adolescent with chronic pelvic pain. J Fam Pract. 2007; 56(3 Suppl Diagnosis):S18-9.

3. Cambitzi J. Chronic pelvic pain: causes, mechanisms and effects. Nurs Stand. 2011;25(20):35-8.

4. Harrison GR. Chronic pelvic pain in women. Pain and pathology. BMJ. 2010; 26; 341.

5. Chiarioni G, Asteria C, Whitehead WE. Chronic proctalgia and chronic pelvic pain syndromes: new etiologic insights and treatment options. World J Gastroenterol. 2011; 17(40):4447-55.

6. Adamson GD. Control of chronic pelvic pain. J Minim Invasive Gynecol. 2006; 13(6):578-82.

7. Surrey ES. Compromised fertility in a patient with chronic pelvic pain. J Fam Pract. 2007; 56; S14-5.

8. Johnston K, Johnston L, Clark W, Chou D. A multidisciplinary approach to the diagnosis and management of chronic pain associated with pelvic venous incompetence. J Minim Invasive Gynecol. 2007; 14(1):2-3.

9. Rigaud J, Delavierre D, Sibert L, Labat JJ. Treatment algorithms for the management of chronic pelvic and perineal pain: from syndrome to treatment. Prog Urol. 2010; 20(12):1132-8.

10. Rigaud J, Delavierre D, Sibert L, Labat JJ. Chronic pelvic and perineal pain: best understanding to better treat. Prog Urol. 2010; 20(12):833-5.

11. St Martin L. The challenges of chronic pelvic pain. Nurs N Z. 2008;14(7):11-3.

12. Riant T, J, Delavierre D, Sibert L, Labat JJ. Drug treatments in the therapeutic management of chronic pelvic and perineal pain. Prog Urol. 2010; 20(12):1095-102.

13. Lamvu G. Role of hysterectomy in the treatment of chronic pelvic pain. Obstet Gynecol. 2011; 117(5):1175-8.

14. El-Din Shawki H. The efficacy of laparoscopic uterosacral nerve ablation (LUNA) in the treatment of unexplained chronic pelvic pain: a randomized controlled trial. Gynecol Surg. 2011;8(1):31-39.

15. de Bernardes NO, Marques A, , Bahamondes L. Use of intravaginal electrical stimulation for the treatment of chronic pelvic pain: a randomized, double-blind, crossover clinical trial. J Reprod Med. 2010; 55(1-2):19-24.

16. Singla N, Pong A, Newman K; MD-10 Study Group. Combination oxycodone 5 mg/ibuprofen 400 mg for the treatment of pain after abdominal or pelvic surgery in women: a randomized, double-blind, placebo- and active-controlled parallel-group study. Clin Ther. 2005; 27(1):45-57.

17. Karst M, Salim K, Burstein S, Conrad I, Hoy L, Schneider U Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain: a randomized controlled trial. JAMA. 2003; 290(13):1757-62.

18. Thomson AJ, Jarvis SK, Lenart M, Abbott JA, Vancaillie TG. The use of botulinum toxin type A (BOTOX) as treatment for intractable chronic pelvic pain associated with spasm of the levator ani muscles.BJOG. 2005; 112(2):247-9.