Chronic Pelvic Pain in Women
The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progr
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With 22 Figures and 10 Tables
Springer-Verlag Berlin Heidelberg New York 1981
Marcel Renaer, M. D., Ph. D., F. R. C. O. G., a. e. Professor and Head Department of Obstetrics and Gynecology A. Z. St. Rafael, Kapucijnenvoer 33 3000 Leuven, Belgium
ISBN -13 :978-3-642-67970-4 e-ISBN-13 :978-3-642-67968-1 DOl: 10.1007/978-3-642-67968-1 Library of Congress Cataloging in Publication Data. Main entry under title: Chronic pelvic pain in women. Bibliography: p. Includes index. 1. Pelvis-Diseases. 2. Abdominal pain. 3. Backache. 4. Generative organs, Female-Diseases. I. Renaer, M. [DNLM: 1. Female. 2. Pain. 3. Pelvis. WE 750C557j RG482.C47 617'.5581-326 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, reuse of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to 'Verwertungsgesellschaft Wort', Munich. © by Springer-Verlag Berlin Heidelberg 1981 Softcover reprint of the hardcover 1st edition 1981 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. 2125/3140-543210
Preface The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progress in this field, such as the strongly subjective nature of the complaints, the frequent lack of correlation between them and objective findings, and the complexity of the psychosomatic interactions involved. Although progress in our knowledge has been much slower than we would have wished, and although we are well aware of these many gaps, it was considered useful to gather in a book what we think we have learned during 3 decades of active interest in pain patients and pain problems in gynecologic practice and 12 years of supervision of a pain clinic in the Department of Obstetrics and Gynecology of Leuven University. As there are many differences between acute pain - clinical as well as experimental - on the one hand and chronic pain symptoms on the other, it was felt preferable to limit the scope of this book essentially to chronic and recurrent pain in gynecologic practice. When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. I have been fortunate in obtaining the collaboration of Dr. N. C. Hightower of the Department of Gastroenterology and Dr. J. W. Roberts of the Department of General Surgery of the Scott and White Clinic (Temple, Texas, Un
