Prevalence and risk factors of pelvic pain

Díaz-Mohedo, Esther; Hita‐Contreras, Fidel; Luque-Suárez, Alejandro; Walker-Chao, C.; Zarza-Luciáñez, D.; Salinas-Casado, Jesús

doi:10.1016/j.acuroe.2014.01.006

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…Díaz-Mohedo et al [ 39 ] studied the factors that were associated with the presence of pelvic pain. They conducted a study with 887 people, of whom 414 were women, aged 18 to 65 years, finding that 30.9% of women experienced pelvic pain, a higher rate than our study.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor dysfunction: prevalence and associated factors

Peinado-Molina,

Hernández-Martínez,

Martínez-Vázquez

et al. 2023

BMC Public Health

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Background Pelvic floor dysfunction in women encompasses a wide range of clinical disorders: urinary incontinence, pelvic organ prolapse, fecal incontinence, and pelvic-perineal region pain syndrome. A literature review did not identify any articles addressing the prevalence of all pelvic floor dysfunctions. Objective Determine the prevalence of the group of pelvic floor disorders and the factors associated with the development of these disorders in women. Material and methods This observational study was conducted with women during 2021 and 2022 in Spain. Sociodemographic and employment data, previous medical history and health status, lifestyle and habits, obstetric history, and health problems were collected through a self-developed questionnaire. The Pelvic Floor Distress Inventory (PFDI-20) was used to assess the presence and impact of pelvic floor disorders. Pearson's Chi-Square, Odds Ratio (OR) and adjusted Odds Ratio (aOR) with their respective 95% confidence intervals (CI) were calculated. Results One thousand four hundred forty-six women participated. Urinary incontinence occurred in 55.8% (807) of the women, fecal incontinence in 10.4% (150), symptomatic uterine prolapse in 14.0% (203), and 18.7% (271) reported pain in the pelvic area. The following were identified as factors that increase the probability of urinary incontinence: menopausal status. For fecal incontinence: having had instrumental births. Factors for pelvic organ prolapse: number of vaginal births, one, two or more. Factors for pelvic pain: the existence of fetal macrosomia. Conclusions The prevalence of pelvic floor dysfunction in women is high. Various sociodemographic factors such as age, having a gastrointestinal disease, having had vaginal births, and instrumental vaginal births are associated with a greater probability of having pelvic floor dysfunction. Health personnel must take these factors into account to prevent the appearance of these dysfunctions.

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Section: Discussionmentioning

confidence: 99%

Pelvic floor dysfunction: prevalence and associated factors

Peinado-Molina,

Hernández-Martínez,

Martínez-Vázquez

et al. 2023

BMC Public Health

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Section: Introductionmentioning

confidence: 99%

“…1 Worldwide, prevalence rates in the general population range from 4% to 26.6% in women 2 3 and 2% to 18% in men. 4 5 Several risk and contributing factors exist, 6 but the aetiology of CPPS is still unclear. 7 Several treatment strategies including psychotherapeutic and physiotherapeutic approaches exist, yet for most of these programmes, a distinct benefit was not found.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial

et al. 2021

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ObjectiveTo explore feasibility in terms of delivering and evaluating a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome (CPPS).DesignProspective non-randomised controlled pilot study.SettingTertiary care facility with a specialised interdisciplinary outpatient clinic for patients with CPPS.ParticipantsA total of 311 patients was approached; 60 participated. 36 patients were included in the intervention group (mean age ±SD 48.6 years±14.8; 52.8% female) and 24 in the control group (mean age ±SD 50.6 years±14.5; 58.3% female). Fourteen participants were lost to follow-up.InterventionsParticipants were non-randomly allocated to the intervention group with two consecutive treatment modules (physiotherapy and cognitive behavioural therapy) with a duration of 9 weeks each or to the control group (treatment as usual).Main outcome measuresFeasibility was operationalised in terms of delivering and evaluating the therapeutic combination. Regarding eligibility as the first aspect of feasibility, willingness to participate, dropout and satisfaction were assessed; for the second aspect, standardised self-report questionnaires measuring health-related quality of life, depression severity and pain were applied.ResultsAlthough eligibility and willingness-to-participate rates were low, satisfaction of the participants in the intervention group was high and dropout rates were low. Results indicated a small and non-significant intervention effect in health-related quality of life and significant effects regarding depression severity and pain.ConclusionsThe combination of physiotherapy and psychotherapy for patients with CPPS seems to be feasible and potentially promising with regard to effect. However, a subsequent fully powered randomised controlled trial is needed.Trial registration numberGerman Clinical Trials Register (DRKS00009976) and ISRCTN (ISRCTN43221600).

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Chronic pelvic pain (CPP) is a common condition in women with prevalence varying from 5.6 to 30.9%. 1,2 It results in disruption of daily activities, adversely affects the quality of life, and is the primary presenting symptom in 10 to 40% of all obstetrics and gynecology outpatient clinic visits. 3,4 CPP is a presenting symptom of various pathologies including pelvic varicocele, pelvic adhesions, spastic colon syndrome, uterine fibroids, endometriosis, and psychosomatic disorders.

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confidence: 99%

Management of Patients when Superficial Venous Disease Arises from Pelvic Escape Points

Ahuja

Garg

Sudheendra

2021

Semin intervent Radiol

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Chronic pelvic pain (CPP) is a common condition in women that carries with it significant morbidity. It is commonly seen in patients presenting to obstetrics and gynecology outpatient clinic visits. CPP is a presenting symptom of various pathologies including pelvic varicocele, pelvic adhesions, spastic colon syndrome, uterine fibroids, endometriosis, and psychosomatic disorders. Pelvic congestion syndrome has more recently been termed “pelvic venous insufficiency (PVI)” due to the underlying retrograde flow through incompetent ovarian and pelvic veins that are thought to cause the symptoms of CPP. Pelvic varices can commonly present alongside vulvar, perineal, and lower extremity varices. There are some predictable “escape pathways” for these varices that may present for interventional treatment. This article introduces the reader to current terminology, clinical presentation, diagnosis, and treatment of patients with pelvic varices due to PVI.

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Prevalence and risk factors of pelvic pain

Cited by 8 publications

References 25 publications

Pelvic floor dysfunction: prevalence and associated factors

Pelvic floor dysfunction: prevalence and associated factors

Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial

Management of Patients when Superficial Venous Disease Arises from Pelvic Escape Points

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