Management of patients with chronic pelvic pain associated with endometriosis refractory to conventional treatment
Pain Practice, 05/10/2012
Martinez B et al. – A descriptive study was made of the management of 44 patients with endometriosis refractory to therapy, evaluated and treated over a period of 3 years in the Pain Unit of the Maternity Center of La Paz University Hospital (Madrid, Spain).
- The literature contains numerous studies on the diagnosis, pathogenesis, atypical locations, and clinical (hormonal) and surgical management of the disorder.
- However, no information is available on the management of endometriosis involving pain refractory to the usual treatment from the perspective of a pain unit.
- This hospital has a pain unit specifically dedicated to pain in gynecology and obstetrics.
- The unit has been functioning since December 2005, and 52% of the attended patients have CPP of different origins.
- Endometriosis is present in 48% of all patients with CPP and is the most prevalent pathology in this practice.
- It moreover poses an important challenge in view of its enormous complexity.