[Clinical profile of patients with chronic pelvic pain: a descriptive analysis]

Arch Esp Urol. 2014 Oct;67(8):692-8.
[Article in Spanish]

Abstract

Objectives: The aim of this paper is to analyze the clinical profile of patients with chronic pelvic pain (CPP) to obtain a more accurate and fast clinical diagnosis.

Methods: In this retrospective and descriptive cross-sectional study, we recruited 64 patients with CPP (32 men and 32 women. Patients had confirmed diagnosis of CPP. History was done including past medical history, prior abdominal and pelvic surgery, practice of risk sports, start and evolution of the pain, and number of physicians visited. We evaluated pain intensity with a VAS scale, neuropathic characteristics of the pain with the DN4 questionnaire, anxiety and depression with the HAD Scale (HADS) and disability with the Oswestry Disability Index (ODI ). Pelvic floor evaluation integrated intrapelvic and extrapelvic muscles assessment.

Results: Average number of doctors visited was 6.4 for men and 10 for women. The VAS for men was 5.43 (± 2.29), for women 6.89 (± 1.89). The DN4 for men was 4.53 (± 2.2), for women 4.44 (± 2.2). The mean anxiety in men was 10.18 (±4.27) and for women 9 (± 4.6) and mean depression in men was 7.31 (± 4.88) and for women 7.16 (± 4). ODI for men was 26.7% (±2.2), for women 33.75% (± 2.2).

Conclusion: We have defined a clinical profile of patients with CPP that can enable a better approach to the reality of these patients with diminished quality of life.

MeSH terms

  • Chronic Pain* / diagnosis
  • Chronic Pain* / etiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Pain Measurement
  • Pelvic Pain* / diagnosis
  • Pelvic Pain* / etiology
  • Quality of Life*
  • Retrospective Studies