Manejo Del Dolor Pelvico Cronico En Pacientes Con Endometriosis
Keywords:
endometriosis, chronic pelvic pain, deep infiltrating endometriosis, medical therapies, surgical treatment
Abstract
Endometriosis, a disease of unknown etiology, remains a cause of significant morbidity in reproductive age women resulting in chronic pelvic pain. Several mechanisms could explain the relationship between endometriosis and pelvic pain, and are potential targets of therapies. Endometriosis-associated pain can be treated with medical therapies or surgery, both conservative and radical. The medical therapies induce a hormonal steady state that results in an environment not conducive for endometriosis development. Surgical therapies for endometriosisassociated pain include conservative treatments such as removal of endometriotic implants, nodules, and adhesions with restoration of normal pelvic anatomy. Radical surgery involves removal not only the uterus with or without of the ovaries in patients who have completed childbearing, but also all residual pelvic lesions.
Downloads
- Article PDF
- TEI XML Kaleidoscope (download in zip)* (Beta by AI)
- Lens* NISO JATS XML (Beta by AI)
- HTML Kaleidoscope* (Beta by AI)
- DBK XML Kaleidoscope (download in zip)* (Beta by AI)
- LaTeX pdf Kaleidoscope* (Beta by AI)
- EPUB Kaleidoscope* (Beta by AI)
- MD Kaleidoscope* (Beta by AI)
- FO Kaleidoscope* (Beta by AI)
- BIB Kaleidoscope* (Beta by AI)
- LaTeX Kaleidoscope* (Beta by AI)
How to Cite
References
Meuleman C, Vandenabeele B, Fieuws S, Spiessens C, Timmerman D, D'Hooghe T (2009) High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners Fertil Steril. 92(1), 68-74. https://doi.org/10.1016/j.fertnstert.2008.04.056
Rogers PAW, D'Hooghe TM, Fazleabas A, Gargett CE, Giudice LC, Montgomery GW (2009) Priorities for Endometriosis Research: Recommendations From an International Consensus Workshop Reprod Sci. 16(4), 335-346. https://doi.org/10.1177/1933719108330568
Nnoaham KE, Hummelshoj L, Webster P, d'Hooghe T, de F, de C (2011) Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries Fertil Steril. 96(2), 366-373. https://doi.org/10.1016/j.fertnstert.2011.05.090
M. Arruda (2003) Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women Hum Reprod. 18(4), 756-759. https://doi.org/10.1093/humrep/deg136
R. Hadfield, H. Mardon, D. Barlow, S. Kennedy (1996) Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK Hum Reprod. 11(4), 878-880.
Ballard K, Lowton K, Wright J (2006) What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis Fertil Steril. 86(5), 1296-1301. https://doi.org/10.1016/j.fertnstert.2006.04.054
Vercellini P, Trespidi L, De O, Cortesi I, Parazzini F, Crosignani PG (1996) Endometriosis and pelvic pain: relation to disease stage and localization Fertil Steril. 65(2), 299-304.
Chapron Fauconnier A, Vieira Dubuisson J-B, Bréart Dousset B (2002) Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis Fertil Steril. 78(4), 719-726. https://doi.org/10.1016/s0015-0282(02)03331-9
Hsu AL, Sinaii N, Segars J, Nieman LK, Stratton P (2011) Relating Pelvic Pain Location to Surgical Findings of Endometriosis: Obstet Gynecol. 118(2, Part 1), 223-230. https://doi.org/10.1097/aog.0b013e318223fed0
Tokushige N, Markham R, Russell P, Fraser IS (2006) Nerve fibres in peritoneal endometriosis Hum Reprod. 21(11), 3001-3007. https://doi.org/10.1093/humrep/del260
Tulandi T, Felemban A, Chen MF (2001) Nerve fibers and histopathology of endometriosis-harboring peritoneum J Am Assoc Gynecol Laparosc. 8(1), 95-98. https://doi.org/10.1016/s1074-3804(05)60556-7
Mechsner S, Schwarz J, Thode J, Loddenkemper C, Salomon DS, Ebert AD (2007) Growth-associated protein 43-positive sensory nerve fibers accompanied by immature vessels are located in or near peritoneal endometriotic lesions Fertil Steril. 88(3), 581-587. https://doi.org/10.1016/j.fertnstert.2006.12.087
V. Anaf (2000) Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules Hum Reprod. 15(8), 1744-1750. https://doi.org/10.1093/humrep/15.8.1744
Abbott J, Hawe J, Hunter D, Holmes M, Finn P, Garry R (2004) Laparoscopic excision of endometriosis: A randomized, placebo-controlled trial Fertil Steril. 82(4), 878-884. https://doi.org/10.1016/j.fertnstert.2004.03.046
As-Sanie S, Harris RE, Napadow V, Kim J, Neshewat G, Kairys A (2012) Changes in regional gray matter volume in women with chronic pelvic pain: A voxel-based morphometry study: Pain. 153(5), 1006-1014. https://doi.org/10.1016/j.pain.2012.01.032
Na; No (2010) Practice Bulletin No. 114: Management of Endometriosis. 116(1), 223-236. https://doi.org/10.1097/aog.0b013e3181e8b073
Allen C, Hopewell S, Prentice A, Gregory D (2009) Nonsteroidal anti-inflammatory drugs for pain in women with endometriosis.
Vercellini P, Eskenazi B, Consonni D, Somigliana E, Parazzini F, Abbiati A (2011) Oral contraceptives and risk of endometriosis: a systematic review and meta-analysis Hum Reprod Update. 17(2), 159-170. https://doi.org/10.1093/humupd/dmq042
Bayoglu Y, Dilbaz B, Altinbas SK, Dilbaz S (2011) Postoperative medical treatment of chronic pelvic pain related to severe endometriosis: levonorgestrel-releasing intrauterine system versus gonadotropin-releasing hormone analogue Fertil Steril. 95(2), 492-496. https://doi.org/10.1016/j.fertnstert.2010.08.042
Abou-Setta AM, Houston B, Al-Inany HG, Farquhar C (2013) Levonorgestrel-releasing intrauterine device (LNG-IUD) for symptomatic endometriosis following surgery.
Petta CA (2005) Randomized clinical trial of a levonorgestrel-releasing intrauterine system and a depot GnRH analogue for the treatment of chronic pelvic pain in women with endometriosis Hum Reprod. 20(7). https://doi.org/10.1093/humrep/deh869
Prentice A (2001) Regular review: Endometriosis BMJ. 323(7304), 93-95. https://doi.org/10.1136/bmj.323.7304.93
Luisi S, Parazzini F, Angioni S, Arena S, Berretta P, Candiani M (2015) Dienogest treatment improves quality of life in women with endometriosis. 7(4), 124-8.
Yela DA, Kajikawa P, Donati L, Cursino K, Giraldo H, Benetti-Pinto CL (2015) Deep infiltrating endometriosis treatment with dienogest: a pilot study. 7(1), 33-7. https://doi.org/10.5301/je.5000202
Abrão MS, Goncalves d (2007) C, Dias JA, Podgaec S, Chamie LP, Blasbalg R Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis Hum Reprod. 22(12), 3092-3097. https://doi.org/10.1093/humrep/dem187
Abrão MS, Podgaec S, Dias JA, Averbach M, Silva LFF, de FM (2008) Endometriosis Lesions That Compromise the Rectum Deeper Than the Inner Muscularis Layer Have More Than 40% of the Circumference of the Rectum Affected by the Disease J Minim Invasive Gynecol. 15(3), 280-285. https://doi.org/10.1016/j.jmig.2008.01.006
R. Brouwer, R. Woods (2007) Rectal Endometriosis: Results of radical excision and review of published work ANZ J Surg. 77(7), 562-571. https://doi.org/10.1111/j.1445-2197.2007.04153
Published
2016-06-10
Issue
Section
License
Copyright (c) 2016 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.