There's a rough algorithm for non-gender-specific chronic pelvic pain on p.24.
But, yeah, there's over 100 pages in there on chronic pelvic pain in this document alone. Definitely a problem that's above my pay grade.
"The algorithm for diagnosing and treating CPP (Algorithm 1) has been developed to guide a physician through
the process from diagnosis to management. A physician should follow the lines by answering the appropriate
questions with yes or no. By doing this the clinician will end up at a box that refers to the chapter in this
guideline that contains all the information needed.
Because CPP is pain perceived in structures related to the pelvis, it is necessary to approach a
patient diagnosed with CPP as a chronic pain patient. Confining the diagnosis to a specific organ may overlook
multisystem functional abnormalities requiring individual treatment and general aspects of pain in planning
investigation and treatment. This idea is easily recognised in the algorithm where the division in specific
disease associated pain is made on one hand and pelvic pain syndrome on the other.
The algorithm also illustrates that the authors advocate early involvement of a multidisciplinary pain
team. In practice, this should mean that well-known diseases, e.g. ‘true’ cystitis and endometriosis, will be
diagnosed and treated early. If treating such conditions does not reduce symptoms, or such well-defined
conditions are not found, then further investigation may be necessary, depending on where the pain is
localised."
phobosanomaly|5 years ago
https://uroweb.org/wp-content/uploads/26-Chronic-Pelvic-Pain...
There's a rough algorithm for non-gender-specific chronic pelvic pain on p.24.
But, yeah, there's over 100 pages in there on chronic pelvic pain in this document alone. Definitely a problem that's above my pay grade.
"The algorithm for diagnosing and treating CPP (Algorithm 1) has been developed to guide a physician through the process from diagnosis to management. A physician should follow the lines by answering the appropriate questions with yes or no. By doing this the clinician will end up at a box that refers to the chapter in this guideline that contains all the information needed.
Because CPP is pain perceived in structures related to the pelvis, it is necessary to approach a patient diagnosed with CPP as a chronic pain patient. Confining the diagnosis to a specific organ may overlook multisystem functional abnormalities requiring individual treatment and general aspects of pain in planning investigation and treatment. This idea is easily recognised in the algorithm where the division in specific disease associated pain is made on one hand and pelvic pain syndrome on the other.
The algorithm also illustrates that the authors advocate early involvement of a multidisciplinary pain team. In practice, this should mean that well-known diseases, e.g. ‘true’ cystitis and endometriosis, will be diagnosed and treated early. If treating such conditions does not reduce symptoms, or such well-defined conditions are not found, then further investigation may be necessary, depending on where the pain is localised."