New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Abstract

Background: Chronic pelvic pain syndrome (CPPS) is one of the common diseases in urology and gynecology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecological, gastrointestinal, pelvic musculoskeletal, or nervous systems. The symptoms of CPPS appear to result from an interplay between psychological factors and dysfunction in the immune, neurological, and endocrine systems. The aim of this article was to present new insight about CPPS in order to raise awareness of nursing and medical staff in the identification and diagnosis of the syndrome and to promote an appropriate treatment for each woman who suffers from CPPS. Methods: A literature review about the factors associated with CPPS and therapeutic interventions for CPPS was conducted. Results: CPPS represents a chronic pain syndrome that combines anatomic malfunction of the pelvic floor muscles with malfunction of pain perception linked with psychological and cognitive factors. Conclusions: The therapeutic interventions in CPPS cases should, consequently, follow a multidisciplinary approach.

Laparoscopic Outcomes after Normal Clinical and Ultrasound Findings in Young Women with Chronic Pelvic Pain: A Cross-Sectional Study

“…The much higher rate (double) of depression and higher rate of anxiety reported by women with endometriosis than those women who did not have endometriosis in our cohort also confirm previous reports [12,[31][32][33]. These observations highlight the complexities and the possible contributions from non-gynaecological factors in the pathophysiology of CPP [34,35]. Our data propose that simultaneous assessment and treatment of all these complaints in younger CPP suffers before resorting to invasive investigations (i.e., laparoscopy).…”

Impact of a Persistent Pelvic Pain Clinic: Emergency attendances following multidisciplinary management of persistent pelvic pain

“…Patients are discharged to their general practitioners after six months. A multidisciplinary approach to PPP has been shown to improve self‐reported pain and reduce emergency department (ED) presentations in other centres 8–10 …”

Vulvodynia—It Is Time to Accept a New Understanding from a Neurobiological Perspective

“…Therefore, it seems that this proposal wants to indicate that, although a cause of vulvodynia is not detected, it surely will have it. In this way, it is proposed a step-by-step therapeutic approach addressing pelvic floor dysfunction and psychosexual health, together with medical management [ 24 , 25 , 26 ]. Some authors propose a 3 steps approach [ 27 ].…”