The DOI matches its Crossref record.
The Role of Laparoscopy in Chronic Pelvic Pain: Promise and Pitfalls
Abstract
Published studies relating to the usefulness of diagnostic and operative laparoscopy in women with chronic pelvic pain (CPP) were reviewed. This revealed that approximately 40 per cent of all laparoscopies were done for CPP. However, the definition of CPP was found to be nebulous and inconsistent, and that muddled definitive conclusions about patient diagnoses and treatments. The following definition of CPP was proposed: nonmenstrual pain of 3 or more months duration that localizes to the anatomic pelvis and is severe enough to cause functional disability and require medical or surgical treatment. A survey of published reports showed laparoscopically diagnosable abnormalities in 61 per cent of patients, compared with abnormalities in 28 per cent of women without CPP. Studies in adolescents were also reviewed and showed that adolescents with CPP also had significant laparoscopically diagnosed abnormalities, with 78 per cent showing some pathology, especially endometriosis (40 per cent). Endometriosis, pelvic adhesions, chronic pelvic inflammatory disease, and ovarian cysts were the diagnoses most commonly made via laparoscopy in CPP patients. The potential roles of each of these abnormalities in CPP were discussed, as well as the results of laparoscopic treatment of each disease. Laparoscopy was also found to have a limited role in women with CPP after hysterectomy or bilateral salpingo-oophorectomy, with usefulness in diagnosing and treating adhesions and residual ovary syndrome, although its role in ovarian remnant syndrome was uncertain. Overall, the data showed that less than 50 per cent of women with CPP were helped by diagnostic and operative laparoscopy, stressing the need for both physicians and patients to recognize that laparoscopy is neither the ultimate evaluation nor the panacea for CPP.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“among women who undergo laparoscopy, endometriosis is found in one-third who undergo surgery for CPP, compared with only 5% of those who do not have infertility or CPP”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Howard, 1993
Citations
Cited by
Sorted by citations
Items 101–200 of 435
LING, F. W. (1999) · Obstetrics & Gynecology · doi:10.1097/00006250-199901000-00012 · Cited by 223
Wiseman, D. M. (2008) · Seminars in Reproductive Medicine · doi:10.1055/s-0028-1082394 · Cited by 39
“Twenty-five percent to 57% of patients with chronic pelvic pain (CPP) are estimated to have adhesions, with or without endometriosis.(44) In 75% of patients with a physical source of pain, emotional factors contribute greatly to the perception of pain and the ability to cope with it.”
BackgroundPelvic vein incompetence: clinical perspectives
Riding, D. M., Hansrani, V., & McCollum, C. N. (2017) · Vascular Health and Risk Management · doi:10.2147/vhrm.s132827 · Cited by 38
Method for Electrochemical Detection of Brain Derived Neurotrophic Factor (BDNF) in Plasma
Bockaj, M., Fung, B. C., Tsoulis, M. W., Foster, L., & Soleymani, L. (2018) · Analytical Chemistry · doi:10.1021/acs.analchem.8b01642 · Cited by 38
Impact of diagnostic laparoscopy on the management of chronic pelvic pain
Kang, S., Chung, H., Lee, H.-P., Lee, J. Y., & Chang, Y. (2006) · Surgical Endoscopy · doi:10.1007/s00464-006-9047-1 · Cited by 37
“Laparoscopy allows surgeons to see and treat many abdominal conditions that could not be diagnosed otherwise [9, 15].”
BackgroundLaparoscopic evaluation and treatment of women with chronic pelvic pain
Howard, F. M. (1994) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(05)80797-2 · Cited by 41
Self-citationPsychological and endocrine correlates of chronic pelvic pain associated with adhesions
Heim, C. C., Ehlert, U., Hanker, J. P., & Hellhammer, D. H. (1999) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829909075572 · Cited by 38
Chronic pelvic pain: clinical dilemma or clinician's nightmare
Ghaly, A. F. F. (2000) · Sexually Transmitted Infections · doi:10.1136/sti.76.6.419 · Cited by 36
A cost-effective approach to the management of endometriosis
Winkel, C. A. (2000) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/00001703-200008000-00009 · Cited by 37
Ovarian vein syndrome: A review
Bhutta, H. Y., Walsh, S. R., Tang, T. Y., et al. (2009) · International Journal of Surgery · doi:10.1016/j.ijsu.2009.09.008 · Cited by 36
Postural changes in women with chronic pelvic pain: a case control study
Montenegro, M. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E., dos Reis, F. J. C., Nogueira, A. A., & Poli‐Neto, O. B. (2009) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-10-82 · Cited by 36
“Although this disease has been associated with musculoskeletal changes [9] and particular postures [11], to date there have been no studies of the detailed postural evaluation of women with CPP, which can be performed by attending physicians, especially primary care physicians [5] and gynecologists [12].”
BackgroundPaulson, J. D., & Delgado, M. (2007) · PubMed Central · Cited by 34
Abordagem da dor pélvica crônica em mulheres
Nogueira, A. A., dos Reis, F. J. C., & Poli‐Neto, O. B. (2006) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1590/s0100-72032006001200008 · Cited by 35
CHECK, J. H., Cohen, R. L., Katsoff, B., & CHECK, D. L. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2011.07.024 · Cited by 34
“About 40% of diagnostic pelvic laparoscopies are for chronic pelvic pain [29].”
BackgroundPitfalls of the medical paradigm in chronic pelvic pain
Grace, V. M. (2000) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1053/beog.1999.0089 · Cited by 34
Prospective evaluation of laparoscopic appendectomy in women with chronic right lower quadrant pain
AlSalilli, M., & Vilos, G. A. (1995) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(05)80007-6 · Cited by 33
Could chronic pelvic pain be a functional somatic syndrome?
Warren, J. W., Morozov, V., & Howard, F. M. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.04.003 · Cited by 33
Self-citationReduction of Adhesion Formation by Intraperitoneal Administration of Anti-inflammatory Peptide 2
Rodgers, K. E., Girgis, W., Campeau, J. D., et al. (1997) · Journal of Investigative Surgery · doi:10.3109/08941939709032122 · Cited by 33
Vaginal and rectal microbiome contribute to genital inflammation in chronic pelvic pain
Jimenez, N. R., Norton, T., Diadala, G., Bell, E., Valenti, M., Farland, L. V., Mahnert, N. D., & Herbst‐Kralovetz, M. M. (2024) · BMC Medicine · doi:10.1186/s12916-024-03500-1 · Cited by 38
“However, there are currently no validated, non-invasive diagnostic tests for the disease, and definitive diagnosis relies on surgical excision of suspected lesions with histopathology confirmation [3–5].”
BackgroundLaparoscopic evaluation of infertile patients with chronic pelvic pain
Milingos, S., Πρωτόπαπας, Α., Kallipolitis, G., Drakakis, P., Makrigiannakis, A., Liapi, A., Milingos, D. S., Antsaklis, A. J., & Michalas, S. S. (2006) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)61008-5 · Cited by 32
“suffering to adversely affect the quality of life (Metzger, 1990; Howard, 1993; Howard et al., 2003).”
BackgroundResultInfluentialPelvic pain: A chronic visceral pain syndrome
Wesselmann, U., & Czakanski, P. P. (2001) · Current Pain and Headache Reports · doi:10.1007/s11916-001-0005-2 · Cited by 32
Evaluation and management of chronic pelvic pain
Dulęba, A. J., Keltz, M. D., & Olive, D. L. (1996) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(96)80004-1 · Cited by 30
Bodden-Heidrich, R., Küppers, V., Beckmann, M. W., Rechenberger, I., & Bender, H. (1999) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829909075588 · Cited by 34
Till, S. R., Wahl, H. N., & As‐Sanie, S. (2017) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000376 · Cited by 31
Tyrosine receptor kinase B (TrkB) protein expression in the human endometrium
Anger, D. L., Zhang, B., Boutross‐Tadross, O., & Foster, W. G. (2007) · Endocrine · doi:10.1007/s12020-007-0025-8 · Cited by 29
Épidémiologie et aspects économiques des douleurs pelvipérinéales chroniques
Sibert, L., Rigaud, J., Delavierre, D., & Labat, J.-J. (2010) · The French Journal of Urology · doi:10.1016/j.purol.2010.08.004 · Cited by 30
Simvastatin Decreases Invasiveness of Human Endometrial Stromal Cells1
Sokalska, A., Cress, A. B., Bruner‐Tran, K. L., et al. (2012) · Biology of Reproduction · doi:10.1095/biolreprod.111.098806 · Cited by 31
“For many women, the side effects of medical therapy can be as unpleasant as the symptoms of endometriosis and surgical treatment is generally noncurative with a high rate of recurrence [24–33].”
BackgroundLaparoscopic treatment of chronic pelvic pain in 100 adult women
Carter, J. E. (1995) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(05)80105-7 · Cited by 30
Ferrier, C., Bendifallah, S., Suisse, S., Dabi, Y., Touboul, C., Puchar, A., Zarca, K., & Durand‐Zaleski, I. (2022) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17348 · Cited by 34
Sexual and physical abuse and gynecologic disorders
Schliep, K. C., Mumford, S. L., Johnstone, E. B., Peterson, C. M., Sharp, H. T., Stanford, J. B., Chen, Z., Backonja, U., Wallace, M. E., & Louis, G. M. B. (2016) · Human Reproduction · doi:10.1093/humrep/dew153 · Cited by 29
Factors Associated with Severity of Irritable Bowel Syndrome Symptoms in Patients with Endometriosis
Lee, C. E., Yong, P. J., Williams, C., & Allaire, C. (2017) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2017.06.025 · Cited by 28
Panisch, L. S., & Tam, L. M. (2019) · Trauma Violence & Abuse · doi:10.1177/1524838018821950 · Cited by 30
“The condition is the most common reason for referral to gynecology clinics, and its treatment accounts for one fifth of appointments in secondary care settings (Howard, 1993).”
BackgroundSystematic Review of Therapies for Noncyclic Chronic Pelvic Pain in Women
Yunker, A., Sathe, N. A., Reynolds, W. M., Likis, F. E., & Andrews, J. (2012) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0b013e31825cecb3 · Cited by 29
“The causes of CPP are poorly understood, and diagnosis of an underlying cause is complicated because the pain is rarely associated with a single underlying disorder or contributing factor.(8) Chronic pelvic pain is frequently reported in the presence of both gynecologic and nongynecologic diagnoses, including endometr…”
BackgroundConservative treatment of pelvic congestion syndrome: indications and opportunities
Gavrilov, S. G., & Turischeva, O. O. (2017) · Current Medical Research and Opinion · doi:10.1080/03007995.2017.1302414 · Cited by 29
Patients with chronic pelvic pain: endometriosis or interstitial cystitis/painful bladder syndrome?
Butrick, C. W. (2007) · PubMed Central · Cited by 28
Foster, W. G. (2008) · Journal of Toxicology and Environmental Health Part B · doi:10.1080/10937400701873456 · Cited by 29
“Reports of the incidence of endometriosis vary widely, from approximately 10% of reproductive-aged women ( Barbieri, 1990 ; Wheeler, 1989 ) up to 30% of women with chronic pelvic pain ( Howard, 1993 ).”
BackgroundChronic pelvic pain in women - gastroenterological, gynaecological or psychological?
Kamm, M. A. (1997) · International Journal of Colorectal Disease · doi:10.1007/s003840050081 · Cited by 30
Gubbels, A. L., Li, R., Kreher, D. A., Mehandru, N., Castellanos, M. E., Desai, N. A., & Hibner, M. (2020) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13303 · Cited by 28
Cura, M. A., & Cura, A. (2009) · Clinical Imaging · doi:10.1016/j.clinimag.2008.09.011 · Cited by 28
“Causes of chronic pelvic pain include endometriosis, pelvic adhesions, chronic pelvic inflammatory disease, ovarian cysts, ovarian varicosities, urologic disorders, irritable bowel syndrome, and psychogenic disorders [3,4].”
BackgroundPrise en charge de l'endométriose: évaluation clinique et biologique
Panel, P., & Renouvel, F. (2007) · Journal de gynécologie, obstétrique et biologie de la reproduction. Supplément/Journal de gynécologie obstétrique et biologie de la reproduction · doi:10.1016/j.jgyn.2006.12.020 · Cited by 28
A cognitive behavioural based assessment of women with chronic pelvic pain
Weijenborg, P. T. M., ter Kuile, M. M., & Stones, W. R. (2009) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674820903378742 · Cited by 29
“What is more, the same type of pathology is also noted in pain free women [11].”
BackgroundLaparoscopic treatment of symptomatic endometriosis
Pouly, J.-L., Drolet, J., Canis, M. J., Boughazine, S., Mage, G., Bruhat, M. A., & Wattiez, A. (1996) · Human Reproduction · doi:10.1093/humrep/11.suppl_3.67 · Cited by 27
“Moreover, the pain relief rate that is reached 5 years after the start of medical therapy, is the same as after laparoscopic treatment: 47% for Waller and Shaw (1993) versus 50% for Howard (1993). The efficacy of laser uterine nerve ablation (LUNA) and presacral neurectomy is the subject of current investigation. Ostr…”
BackgroundInfluentialMoore, J. A., Ziébland, S., & Kennedy, S. (2002) · Health Expectations · doi:10.1046/j.1369-6513.2002.00192.x · Cited by 28
Laparoscopic and Psychologic Evaluation of Women with Chronic Pelvic Pain
Richter, H. E., Holley, R. L., Chandraiah, S., & Varner, R. E. (1998) · The International Journal of Psychiatry in Medicine · doi:10.2190/a2k2-g7j5-mnbq-bnde · Cited by 26
Conroy, I., Mooney, S. S., Kavanagh, S., Duff, M. D., Jakab, I., Robertson, K., Fitzgerald, A. L., Mccutchan, A., Madden, S., Maxwell, S. L., et al. (2021) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13379 · Cited by 27
Office Assessment of Chronic Pelvic Pain
Steege, J. F. (1997) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-199709000-00016 · Cited by 26
Current usage of qualitative research in female pelvic pain: a systematic review
Mellado, B. H., Pilger, T. L., Poli‐Neto, O. B., Silva, J. C. R. E., Nogueira, A. A., & dos Reis, F. J. C. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05212-x · Cited by 26
Use of Adhesion Prevention Barriers in Pelvic Reconstructive and Gynecologic Surgery
diZerega, G. S. (2000) · Springer eBooks · doi:10.1007/978-1-4612-1194-5_34 · Cited by 26
The role of ultrasound in the management of women with acute and chronic pelvic pain
Okaro, E. O., & Valentin, L. (2004) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2003.09.012 · Cited by 25
Rodgers, K. E., Girgis, W., Amand, K. S., et al. (1998) · Journal of Investigative Surgery · doi:10.3109/08941939809032209 · Cited by 25
Chronic pelvic pain: the occurrence of interstitial cystitis in a gynecological population.
Paulson, J. D., & Delgado, M. (2005) · PubMed Central · Cited by 25
A critical appraisal of the circulating levels of differentially expressed microRNA in endometriosis
Leonova, A., Turpin, V., Agarwal, S. K., Leonardi, M., & Foster, W. G. (2021) · Biology of Reproduction · doi:10.1093/biolre/ioab134 · Cited by 29
Ball, E., Newton, S., Röhricht, F., Steed, L., Birch, J. V., Dodds, J. P., Calvete, C. C., Taylor, S. J., & Rivas, C. A. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-030711 · Cited by 25
Leonardi, M., Martin, E. K., Reid, S., Blanchette, G., & Condous, G. S. (2019) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15917 · Cited by 23
UPDATE ON THE MEDICAL TREATMENT OF ENDOMETRIOSIS
Minjarez, D. A., & Schlaff, W. D. (2000) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(05)70161-3 · Cited by 23
Swanton, A., Iyer, L., & Reginald, P. (2006) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.00976.x · Cited by 23
Consensus in adhesion reduction management
Liston, W. A. (2004) · The Obstetrician & Gynaecologist · doi:10.1576/toag.6.3.186.27005 · Cited by 22
Khan, K. S., Tryposkiadis, K., Tirlapur, S., Middleton, L., Sutton, A. J., Priest, L., Ball, E., Balogun, M., Sahdev, A., Roberts, T. E., et al. (2018) · Health Technology Assessment · doi:10.3310/hta22400 · Cited by 24
Visceral hyperalgesia in chronic pelvic pain
Aslam, N., Harrison, G., Khan, K. S., & Patwardhan, S. (2009) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2009.02305.x · Cited by 22
Heitmann, R. J., Langan, K. L., Huang, R., Chow, G. E., & Burney, R. O. (2014) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.04.041 · Cited by 22
An Interdisciplinary Approach to Endometriosis-associated Persistent Pelvic Pain
Allaire, C., Aksoy, T., Bedaiwy, M. A., Britnell, S., Noga, H. L., Yager, H., & Yong, P. J. (2017) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/jeppd.5000284 · Cited by 22
“Endometriosis is a common condition and the most frequent gynaecological cause of persistent pelvic pain in women (1).”
BackgroundPrevention of Adhesion Formation with Intraperitoneal Administration of Tolmetin and Hyaluronic Acid
Rodgers, K. E., Johns, D. B., Girgis, W., et al. (1997) · Journal of Investigative Surgery · doi:10.3109/08941939709099600 · Cited by 22
Lessey, B. A., Higdon, H. L., Miller, S., & Price, T. A. (2012) · Journal of Visualized Experiments · doi:10.3791/4313 · Cited by 23
Indications and Alternatives to Hysterectomy
Solnik, M., & Munro, M. G. (2014) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000010 · Cited by 22
“With these limitations in definition and diagnosis there are, nevertheless, a substantial number of women who undergo surgical procedures for CPP; approximately 40% of diagnostic laparoscopies and 20% of all hysterectomies.(74,75) The observation that the majority of women who have a ‘‘negative’’ laparoscopy will cont…”
BackgroundWykes, C. B., Clark, T. J., Chakravati, S., Mann, C. H., & Gupta, J. K. (2005) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2005.08.008 · Cited by 21
“Chronic pelvic pain (CPP) associated with endometriosis is a common condition in women of reproductive age that impacts adversely on their quality of life and accounts for up to 15% of new gynecological referrals [1,2].”
BackgroundLamvu, G., Tu, F. F., As‐Sanie, S., Zolnoun, D., & Steege, J. F. (2004) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2004.05.003 · Cited by 20
“Although chronic pelvic pain has been described in a variety of ways, it is most commonly defined as nonmenstrual pelvic pain, of 6 months or more duration, that is severe enough to cause functional disability or require medical or surgical treatment [1,2].”
BackgroundResultInfluentialReid, S., Winder, S., & Condous, G. S. (2011) · Australasian Journal of Ultrasound in Medicine · doi:10.1002/j.2205-0140.2011.tb00190.x · Cited by 20
Laparoscopic uterine nerve ablation: a survey of gynaecological practice in the UK
DANIELS, J. P., Gray, R. G., Khan, K. S., & Gupta, J. K. (2000) · Gynaecological Endoscopy · doi:10.1046/j.1365-2508.2000.00323.x · Cited by 20
Reduction of Adhesion Formation by Intraperitoneal Administration of a Recombinant Hirudin Analog
Rodgers, K. E., Girgis, W., Campeau, J. D., et al. (1996) · Journal of Investigative Surgery · doi:10.3109/08941939609021280 · Cited by 20
Chronic pelvic pain: Aetiology and therapy
Farquhar, C. M., & Latthe, P. M. (2006) · Reviews in Gynaecological and Perinatal Practice · doi:10.1016/j.rigapp.2006.02.004 · Cited by 19
Wattier, J. (2018) · Gynécologie Obstétrique Fertilité & Sénologie · doi:10.1016/j.gofs.2018.02.002 · Cited by 21
Peters, A. A. W., & van den Tillaart, S. A. H. M. (2007) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2007.01.005 · Cited by 19
Diagnostic and Operative Transvaginal Hydrolaparoscopy for Infertility and Pelvic Pain
Moore, M. L., & Cohen, M. I. (2001) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(05)60337-4 · Cited by 19
Associations between chronic pelvic pain and psychiatric disorders and symptoms
CARVALHO, A. C. F., Poli‐Neto, O. B., Crippa, J. A. S., Hallak, J. E. C., & Osório, F. D. L. (2015) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/0101-60830000000042 · Cited by 18
Moses, S. H., & Clark, T. J. (2004) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2004.00429.x · Cited by 17
“Pelvic pain remains a common indication for referral to gynaecology clinic: 5% of all new appointments are for chronic pelvic pain.(1,2) Diagnostic laparoscopy is usually performed following failure of conservative management and endometriosis accounts for 25% of cases with objective pathology.”
BackgroundInfluentialAbesadze, E., Sehouli, J., Mechsner, S., & Chiàntera, V. (2019) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2019.08.019 · Cited by 17
12 Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea
Daniell, J. F., & Lalonde, C. J. (1995) · Baillière s Clinical Obstetrics and Gynaecology · doi:10.1016/s0950-3552(05)80400-6 · Cited by 17
Efficacy of Laparoscopic Pelvic Denervation in Central-Type Chronic Pelvic Pain: A Multicenter Study
Zullo, F., Pellicano, M., STEFANO, R. D., Mastrantonio, P., Mencaglia, L., STAMPINI, A., Zupi, E., & Busacca, M. (1996) · Journal of Gynecologic Surgery · doi:10.1089/gyn.1996.12.35 · Cited by 17
Measurement of pain and anthropometric parameters in women with chronic pelvic pain
Ferreira, M. B. C., Mitidieri, A. M. D. S., da Silva, J. B., da Silva, A. P. M., Pazin, C., Poli‐Neto, O. B., Nogueira, A. A., dos Reis, F. J. C., & Silva, J. C. R. E. (2014) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12221 · Cited by 16
“The objective of therapeutic interventions is not always the cure of CPP, but rather pain relief and the return of the patient to her daily life activities and to her social and family life [2,4,8–12].”
BackgroundRodgers, K. E., Girgis, W., Amand, K. S., et al. (1998) · Human Reproduction · doi:10.1093/humrep/13.9.2443 · Cited by 16
Ultrasound Evaluation of Gynecologic Causes of Pelvic Pain
Cicchiello, L. A., Hamper, U. M., & Scoutt, L. M. (2010) · Ultrasound Clinics · doi:10.1016/j.cult.2010.03.005 · Cited by 16
Setting up a multidisciplinary clinic
Collett, B., Cordle, C. J., & Stewart, C. (2000) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1053/beog.1999.0090 · Cited by 16
McClain, G. D., REDAN, J. A., McCarus, S. D., et al. (2011) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/108680810x12924466008925 · Cited by 16
Dwivedi, A. J., Kuwajerwala, N., Silva, Y. J., et al. (2004) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2004.07.019 · Cited by 16
“Postoperative intraperitoneal adhesions are a major cause f postoperative bowel obstruction, infertility, and chronic elvic pain [2,3].”
BackgroundLaparoscopic approach to pelvic congestion syndrome
Grabham, J. A., & Barrie, W. W. (1997) · British journal of surgery · doi:10.1002/bjs.1800840919 · Cited by 16
The LUNA Trial Collaboration (2003) · BMC Women s Health · doi:10.1186/1472-6874-3-6 · Cited by 16
“When definite pathology is found the likely causes are endometriosis (25%) and adhesions (25%) [2].”
InfluentialConsensus in adhesion reduction management
(2004) · The Obstetrician & Gynaecologist · doi:10.1576/toag.6.2.1.26993 · Cited by 16
Surgical interventions for the management of chronic pelvic pain in women
Leonardi, M., Armour, M., Gibbons, T., Cave, A. E., As‐Sanie, S., Condous, G., & Cheong, Y. C. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008212.pub2 · Cited by 30
Jean-Baptiste, H. J. J., Tetrokalashvili, M., Williams, T., Fogel, J., & Hsu, C. (2013) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2013.03.009 · Cited by 15
“Furthermore, chronic pelvic pain accounts for approximately 20% of all hysterectomies performed among women with benign disease and 40% or more of all gynecologic laparoscopies performed in the USA each year [3].”
BackgroundThe role of gynecological, urological, and psychiatric factors in chronic pelvic pain
Demir, F., Özçimen, E. E., & Oral, H. B. (2012) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-012-2443-y · Cited by 15
Bignardi, T., & Condous, G. S. (2008) · Journal of Ultrasound in Medicine · doi:10.7863/jum.2008.27.10.1479 · Cited by 15
Anterior Vaginal Wall Tenderness (AVWT) as a Physical Symptom in Chronic Pelvic Pain
Paulson, J. D., & Paulson, J. N. (2011) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/108680810x12924466008961 · Cited by 15
Gynecological Pain, Endometriosis, Visceral Disease, and the Viscero-Somatic Connection
Jarrell, J. F. (2008) · Journal of Musculoskeletal Pain · doi:10.1080/10582450801960131 · Cited by 16
“There have also been concerns raised in respect to laparoscopy (7,8).”
BackgroundRodgers, K. E., BURLESON, F. G., Burleson, G. R., et al. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.06.056 · Cited by 14
Díaz-Mohedo, E., Wärnberǵ, J., Barón-López, F. J., Velasco, S., & Burgos, A. C. (2014) · Clinical and Experimental Obstetrics & Gynecology · doi:10.12891/ceog16632014 · Cited by 13
Chronic abdominal pain: the role of adhesions and benefit of laparoscopic adhesiolysis
van der Wal, J. B. C., Halm, J. A., & Jeekel, J. J. (2006) · Gynecological Surgery · doi:10.1007/s10397-006-0232-y · Cited by 14
“Laparoscopy allows surgeons to see and treat many abdominal changes that could not be diagnosed otherwise [30, 31].”
BackgroundExpression and significance of ERβ and TrkB in endometriosis
Yu, X., Ren, H., Liu, T., Yong, M., & Zhong, H. (2016) · Clinical and Experimental Obstetrics & Gynecology · doi:10.12891/ceog2027.2016 · Cited by 14
Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview
Khan, K. S., Khan, S. F., Nwosu, C. R., DWARAKANATH, L. S., & CHIEN, P. F. W. (1999) · Gynaecological Endoscopy · doi:10.1046/j.1365-2508.1999.00269.x · Cited by 14
Zhao, J., Samaan, J. S., Toubat, O., et al. (2020) · Journal of Surgical Research · doi:10.1016/j.jss.2020.03.013 · Cited by 13
Surgical interventions for chronic pelvic pain
Senapati, S., Atashroo, D., Carey, E. T., Dassel, M., & Tu, F. F. (2016) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000281 · Cited by 13
“During diagnostic laparoscopy, adhesions are one of the most common disorders reported in the literature [38,39].”
Background
Metadata
- Authors
- HOWARD, F. M.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- HOWARD, FRED M.
- Venue
- Obstetrical & Gynecological Survey
- Published
- 1993-06
- Volume
- 48
- Issue
- 6
- Pages
- 357-387
- ISSN
- 0029-7828 (ISSN-L)
- OpenAlex
- W2131501232
- Cited by
- 434
- References
- 0
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 11 · 2020: 10 · 2019: 17 · 2018: 16 · 2017: 15 · 2016: 9 · 2015: 18 · 2014: 25 · 2013: 6 · 2012: 22
- FWCI
- 6.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrical & Gynecological Survey (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Keywords
- chronic pelvic pain, diagnostic laparoscopy, laparoscopic surgery, endometriosis, pelvic adhesions, chronic pelvic inflammatory disease, ovarian cysts, ovarian remnant syndrome, hysterectomy, salpingo-oophorectomy, adolescents
- MeSH terms
- Pelvic Inflammatory Disease, Chronic Disease, Endometriosis, Female, Genital Diseases, Female, Genital Neoplasms, Female, Humans, Ovarian Cysts, Pain, Pain Measurement, Postoperative Pain, Pelvis, Laparoscopy, Prospective Studies, Retrospective Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
