Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 This clinical guide offers much needed assistance in pinpointing the cause of acute, chronic, and recurring pelvic pain and recommends the most effective medical or surgical treatment for the pain and the underlying disorder. The chapters present detailed, methodical guidelines for the workup of the patient with chronic pelvic pain and for the diagnosis and treatment of the many disorders that cause pelvic discomfort. The section on diagnosis and treatments follows an organ based approach, providing the most efficient, cost-effective way to "rule out" various causes of pelvic pain. Appendices include pain maps, pain diaries, pain scales, and depression scales

Table of Contents

SECTION 1: APPROACH TO THE PATIENT WITH CHRONIC PELVIC PAIN Introduction Taking a History Physical Examination Laboratory and Imaging Evaluation Endoscopy SECTION 2: DIAGNOSIS AND TREATMENTS Accessory and Supernumerary Ovaries Adenomyosis Adhesions Adnexal Cysts Atypical Dysmenorrhea Cervical Stenosis Dysmenorrhea Endometrial and Cervical Polyps Endometriosis and Endosalpingiosis Leiomyomata Uteri Ovarian Retention Syndrome Ovarian Remnant Syndrome Pelvic Congestion Syndrome (Ovarian Pain Syndrome) Pelvic Inflammatory Disease Pelvic Floor Relaxation Disorders Vulvodynia Gastrointestinal System Carcinoma of the Colon Chronic Intermittent Bowel Obstruction Colitis Constipation Diverticular Disease Inflammatory Bowel Disease Irritable Bowel Syndrome Postoperative Peritoneal Cysts Urinary System Bladder Neoplasm Chronic and Recurrent Urinary Tract Infection Interstitial Cystitis Radiation Cystitis Urolithiasis Uninhibited Bladder Contractions (Detrusor Dyssynergia) Urethral Diverticulum Urethral Syndrome Musculoskeletal System Abdominal Wall Myofascial Pain (Trigger Points) Lumbar Vertebral Diseases Faulty or Poor Posture Fibromyalgia Hernias Neoplasia of Spinal Cord or Sacral Nerve Mononeuropathy and Nerve Entrapment Pelvic Floor Pain Syndrome Rectus Abdominis Pain Systemic, Metabolic, and Other Diseases Abdominal Epilepsy Abdominal Migraine Bipolar Disorder Depression Familial Mediterranean Fever Porphyria Shingles Sleep Disturbance Somatic Referral SECTION 3: CHRONIC PAIN Chronic Pain Anatomy and Neurophysiology of Chronic Pain Pain Theory Abuse and Chronic Pain