Urogynecological Causes of Pain and the Effect of Pain on Sexual Function in Women

Dhingra, Charu; Kellogg‐Spadt, Susan; McKinney, Timothy; Whitmore, Kristene

doi:10.1097/spv.0b013e3182686631

Cited by 19 publications

(21 citation statements)

References 74 publications

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“…Overall, the research evaluated in this study provides an empirical foundation for considering sexual behavior, sexual functioning, and the treatment of sexual problems within a biopsychosocial framework . Within this review, a relatively substantial body of research emphasizes the biopsychosocial approach as an invaluable treatment framework for a wide range of sexual and sex‐related diagnoses, including male sexual dysfunction , female sexual dysfunction , and urological and gynecological conditions . Sex‐related pain disorders , especially among women , appear to be a specific area of focus in biopsychosocial treatment, with numerous research groups demonstrating evidence for the value of biopsychosocial and interdisciplinary, combinative treatment models .…”

Section: Resultsmentioning

confidence: 99%

Contemporary Treatment of Sexual Dysfunction: Reexamining the Biopsychosocial Model

Berry

2013

The Journal of Sexual Medicine

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Introduction The introduction of phosphodiesterase type 5 inhibitors has revolutionized the armamentarium of clinicians in the field of sexual medicine. However, pharmacotherapy as a stand-alone treatment option has been criticized, particularly by psychosocial therapists, as incomplete. Specifically, it is widely argued that drug treatment alone often does not meet the standards of biopsychosocial (BPS) therapy. Aim A literature review was performed to explore the role of the biopsychosocial paradigm in the treatment of sexual dysfunction and outline some of the key challenges and possible shortcomings in the current application of biopsychosocial treatment. Main Outcome Measure Published treatment outcomes of integrative biopsychosocial clinical practice, including medical outcomes, psychological and relational factors, treatment of comorbid conditions, cost of treatment, and treatment efficacy, were investigated. Methods Using Medline, PubMed, and EMBASE databases, a literature search for articles published from January 1, 1980, to March 1, 2013, was performed, examining current approaches to the biopsychosocial model of sexual dysfunction and sexual medicine. Data were reviewed and combined, allowing characterization of current treatment approaches and recommendations for clinical practice and future research. Results The biopsychosocial model of treatment appears to have an intuitively obvious meaning (i.e., treatment of all three facets of the patient's biological–psychological–social condition). However, research suggests that clear treatment algorithms are still in development. By virtue of the ongoing development of biopsychosocial methods in sexual medicine, new models and research initiatives may be warranted. The evidence identified allows for characterization of some of the current clinical, professional, financial, and systemic challenges to biopsychosocial treatment, with the aim of helping identify possible directions for future research. Conclusion Implementation of biopsychosocial treatment, though mandated by process-of-care guidelines, may be limited in the field of sexual health owing to resource limitations, limitations in physician training curricula, and structural obstacles preventing interdisciplinary collaboration. Nonetheless, a number of current treatment developments are biopsychosocially integrative, and a number of established models are biopsychosocially informed. These models and concrete strategies may provide a way forward for developing further initiatives to advance BPS treatment.

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Section: Resultsmentioning

confidence: 99%

Contemporary Treatment of Sexual Dysfunction: Reexamining the Biopsychosocial Model

Berry

2013

The Journal of Sexual Medicine

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“…However, Dhingra et al reported some features about diagnosis and treatment of IC. It seems that diagnosis and treatment depended on being alert and skeptical as a physician . The treatments may only improve the patient's quality of life .…”

Section: Discussionmentioning

confidence: 99%

Impact of Rho‐Kinase Inhibitor Hydroxyfasudil in Protamine Sulphate Induced Cystitis Rat Bladder

Akın

Bozkurt

Erol

et al. 2014

LUTS

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“…diazepam suppositories. Trigger point injections provide temporary relief and have demonstrated varying levels of success [67,68]. More recently, botulinum toxin has been used to treat pelvic muscle floor spasm with demonstrated success [69][70][71].…”

Section: Myofascial Pelvic Pain Syndromementioning

confidence: 98%

Update in Diagnosis and Treatment of Chronic Pelvic Pain Syndromes

Shah

Ginzburg

Morrissey

et al. 2015

Curr Bladder Dysfunct Rep

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The diagnosis and treatment of chronic pelvic pain have shifted from organ-specific to multifactorial, multidisciplinary, and individualized approach. While many organizations have had diverse outlooks on classification and treatment plans, new research has identified varied clinical phenotypes and updated classification systems. These phenotypes are based on pain, gender, symptomatology, and comorbid pain syndromes. These new classification systems allow a multimodal therapeutic approach and evaluation of patients. Multidisciplinary care, including urology, gynecology, gastroenterology, neurology, psychology, physiotherapy, and pain medicine, is also further recognized for adequate management of patients with chronic pelvic pain because of its variable etiology. The purpose of this review is to emphasize these changes and discuss management strategies.

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Urogynecological Causes of Pain and the Effect of Pain on Sexual Function in Women

Cited by 19 publications

References 74 publications

Contemporary Treatment of Sexual Dysfunction: Reexamining the Biopsychosocial Model

Contemporary Treatment of Sexual Dysfunction: Reexamining the Biopsychosocial Model

Impact of Rho‐Kinase Inhibitor Hydroxyfasudil in Protamine Sulphate Induced Cystitis Rat Bladder

Update in Diagnosis and Treatment of Chronic Pelvic Pain Syndromes

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