Long-term outcomes after surgical and nonsurgical management of chronic pelvic pain: One year after evaluation in a pelvic pain specialty clinic

Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7508, USA.
American journal of obstetrics and gynecology (Impact Factor: 4.7). 09/2006; 195(2):591-8; discussion 598-600. DOI: 10.1016/j.ajog.2006.03.081
Source: PubMed


The purpose of this study was to describe long-term outcomes for women with chronic pelvic pain (CPP) after evaluation in a CPP specialty clinic.
This was a prospective observational cohort study of women treated for CPP at the UNC Pelvic Pain clinic between 1993 and 2000. The primary outcome was improvement in pain and the main exposure was treatment group: primarily medical (pharmacotherapy, psychotherapy, physical therapy, or combinations of the 3) or surgical (hysterectomy, resection or ablative procedures, oophrectomy, diagnostic surgery, pain mapping, vulvar or vestibular repair). Univariate, bivariate, and multivariable analyses were performed to look for relationships between background characteristics, treatment group, and improvement in pain.
Of 370 participants; 189 had surgical treatment and 181 had medical treatment. One year after evaluation, 46% reported improvement in pain and 32% improvement in depression. Improvement in pain was similar in both treatment groups and odds of improvement were equal even after adjusting for background characteristics, psychosocial comorbidity, and previous treatments.
One year after evaluation in a CPP specialty clinic, women experienced modest improvements in pain and depression after recommended surgical or nonsurgical treatment.

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Available from: Denniz Zolnoun, Sep 14, 2015
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    • "Recently, two uncontrolled follow-up studies (Lamvu et al., 2006; Weijenborg et al., 2007) investigated the clinical course of the condition in secondary/tertiary care CPP women. In both studies a chronicity of symptoms was confirmed. "
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    • "However, interpretation of our findings could be limited by the potential for non-participation bias. However , our response rate was relatively high (60%) in comparison with 38% in the prospective 1 year followup study of Lamvu (Lamvu et al., 2006). Other followup studies after laparoscopy among women with CPP showed response rates varying from 39% (Richter et al., 1998) to 52% (Cox et al., 2007). "
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