Pelvic Pain : Diagnosis and Management

Table of Contents
Acknowledgment vii
Acknowledgement viii
Contributing Authors xi
Preface xiii
Section I Approach to the Patient with Chronic Pelvic Pain 1
1. Introduction 3
2. Taking a History 7
3. Physical Examination 26
4. Laboratory and Imaging Evaluation 43
5. Endoscopy 53
Section II Diagnoses and Treatments 75
Reproductive System
6. Accessory and Supernumerary Ovaries 77
7. Adenomyosis 86
8. Adhesions 93
9. Adnexal Cysts 98
10. Dysmenorrhea 100
11. Cervical Stenosis 108
12. Dyspareunia 112
13. Endocervical and Endometrial Polyps 122
14. Endometriosis and Endosalpingiosis 125
15. Uterine Leiomyomas 151
16. Ovarian Retention Syndrome 155
17. Ovarian Remnant Syndrome 162
18. Pelvic Varicosities and Pelvic Congestion Syndrome 171
19. Pelvic Inflammatory Disease 184
20. Pelvic Floor Relaxation Disorders 190
21. Vulvodynia 204
Gastrointestinal System
22. Carcinoma of the Colon 211
23. Chronic Intermittent Bowel Obstruction 214
24. Colitis 217
25. Constipation 220
26. Diverticular Disease 229
27. Inflammatory Bowel Disease 233
28. Irritable Bowel Disease 238
29. Peritoneal Cysts 246
Urinary System
30. Bladder Cancer 250
31. Chronic and Recurrent Urinary Tract Infections 256
32. Interstitial Cystitis 260
33. Radiation Cystitis 271
34. Urolithiasis 277
35. Discordant Urination and Defecation as Symptoms of Pelvic
Floor Dysfunction 279
36. Urethral Diverticulum 300
37. Chronic Urethral Syndrome 309
Musculoskeletal System
38. Abdominal Wall and Pelvic Myofascial Trigger Points 314
39. Lumbar Vertebral Disease 359
40. Faulty Posture and Chronic Pelvic Pain 363
41. Fibromyalgia 381
42. Hernias 385
43. Neoplasia of the Spinal Cord or Sacral Nerves 414
44. Mononeuropathy and Nerve Entrapment 418
45. Pelvic Floor Pain Syndrome 429
46. Rectus Abdominis Pain 433
Systemic, Metabolic, and Other Diseases
47. Abdominal Epilepsy 438
48. Abdominal Migraines 441
49. Bipolar Disorders 444
50. Depression 449
51. Familial Mediterranean Fever 459
52. Porphyria 461
53. Herpes Zoster Neuralgias 466
54. Sleep and Sleep Disturbance 474
55. Somatic Referral 485
Section III Chronic Pain 491
56. Chronic Pain as a Diagnosis 493
57. Abuse and Chronic Pain 509
Subject Index 514