Produktbild: Chronic Pelvic Pain in Women

Chronic Pelvic Pain in Women

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Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

07.12.2011

Herausgeber

M. Renaer

Verlag

Springer Berlin

Seitenzahl

197

Maße (L/B/H)

24.4/17/1.3 cm

Gewicht

387 g

Auflage

Softcover reprint of the original 1st ed. 1981

Sprache

Englisch

ISBN

978-3-642-67970-4

Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

07.12.2011

Herausgeber

M. Renaer

Verlag

Springer Berlin

Seitenzahl

197

Maße (L/B/H)

24.4/17/1.3 cm

Gewicht

387 g

Auflage

Softcover reprint of the original 1st ed. 1981

Sprache

Englisch

ISBN

978-3-642-67970-4

Herstelleradresse

Springer-Verlag KG
Sachsenplatz 4-6
1201 Wien
AT

Email: GPSR Kontakt

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  • Produktbild: Chronic Pelvic Pain in Women
  • 1 Introduction.- 1.1 Frequency of Chronic Pain.- 1.2 Frequent Incorrect Diagnoses.- 1.3 Two-Staged Clinical Investigation of Chronic Pain Syndromes.- 2 Anatomy and Physiology of Gynecologic Pain.- 2.1 Innervation.- 2.2 Central Pathways and Modulating Influences.- 2.3 Sensitivity of the Genital Organs.- 3 General Characteristics of Chronic Pain of Gynecologic Origin.- 3.1 Most Frequent Localizations.- 3.2 Radiation or Spread of Pain.- 3.3 Time-Intensity Relationship During the Menstrual Cycle.- 3.4 Hyperalgesia of the Abdominal Wall and of Back in Chronic Pain Syndromes.- 3.5 Other Useful Data.- 4 Examination of Patients with Chronic Pain Syndromes.- 4.1 The Patient and Her Complaints.- 4.2 Clinical Examination and Some Special Explorations.- 4.2.1 History of the Present Disorder.- 4.2.2 Somatic Examination.- 4.2.3 Some Special Explorations.- 4.3 Gynecologic Laparoscopy.- 4.3.1 Systematic Visual Exploration of the Pelvis.- 4.3.2 Indications.- 4.3.3 Contraindications.- 4.4 Interpretation of Data: Some Causes of Diagnostic Errors.- 5 Psychological Aspects of the Pain Experience.- 5.1 General Considerations.- 5.2 Behavioral Patterns of Patients with Acute and Chronic Pain.- 5.3 Presentation of the Pain Complaint.- 5.3.1 Verbal Presentation.- 5.3.2 Indications Suggesting Psychogenic Components in Pain Complaints.- 5.3.3 Main Psychopathologic Syndromes Inducing or Accompanying Gynecologic Pain Complaints.- 6 Genital Prolapse and Retroversion of the Uterus.- 6.1 Genital Prolapse.- 6.1.2 Pain Mechanisms.- 6.2 Retroversion and Retroflexion of the Uterus.- 6.2.1 Which Symptoms May Be Caused by Mobile Retroversion?.- 6.2.2 Treatment of Mobile Retroversion.- 6.2.3 Fixed Retroversion.- 7 Parietal Pain.- 7.1 Possible Causes of Pain Arising in the Abdominal Wall.- 7.1.1 Posterior Columns and Posterior Horns.- 7.1.2 Posterior Roots and Spinal Ganglia.- 7.1.3 Peripheral Nerves.- 7.2 Meaning of Parietal Tenderness in Chronic Abdominal Pain Syndromes.- 7.3 Characteristics of Parietal Pain Due to Irritation of Peripheral Nerves of the Abdominal Wall.- 7.4 Some Examples of Parietal Pain in Gynecologic Practice.- 7.4.1 Pain Due to Irritation of the Posterior Roots and Ganglia.- 7.4.2 Pain Due to Irritation of Peripheral Nerves.- 7.5 Some Examples of Abdominal Parietal Pain in Obstetric Practice.- 8 Dysmenorrhea.- 8.1 Incidence.- 8.2 Classification.- 8.3 Primary Dysmenorrhea.- 8.3.1 Clinical Characteristics.- 8.3.2 Pathophysiology.- 8.3.3 Pathogenesis of Primary Dysmenorrhea.- 8.3.4 Management.- 8.4 Secondary Dysmenorrhea.- 8.4.1 Endometriosis.- 8.4.2 Adenomyosis.- 8.4.3 Fibroids.- 8.4.4 Obstructive Dysmenorrhea.- 8.4.5 Psychogenic Dysmenorrhea.- 9 Midcycle Pain.- 9.1 Severe Form.- 9.2 Less Severe Forms.- 9.3 Pathogenesis.- 9.4 Treatment.- 10 Premenstrual Tension.- 10.1 Symptoms.- 10.1.1 Signs.- 10.1.2 Prevalence.- 10.1.3 Pathophysiology.- 10.2 Pathogenesis.- 10.2.1 Premenstrual Tension and Personality.- 10.2.2 Hyperestrogenism or Deficient Luteal Function?.- 10.2.3 Hyperaldosteronism?.- 10.2.4 Does Prolactin Play a Role?.- 10.3 Treatment.- 10.3.1 General Remarks.- 10.3.2 Drug Treatment.- 11 Endometriosis.- 11.1 Incidence.- 11.2 Diagnosis.- Spontaneous Pain.- 11.3 Various Pain Localizations in Endometriosis.- 11.3.1 Visceral Pain.- 11.3.2 Parietal Pain.- 11.3.3 Referred Pain of Visceral Origin; Somatic Pain Radiations.- 11.4 Mechanism of Pain Due to Endometriosis.- 11.4.1 Pain Mechanism.- 11.4.2 Why Do Some Lesions Remain Painless?.- 11.4.3 How to Know Whether a Pain Symptom Is Due to Endometriosis.- 11.5 Acute Pain Syndromes Due to Endometriosis.- 11.5.1 Intestinal Stenosis and Obstruction.- 11.5.2 Acute Pain Without Rupture of an Endometriotic Cyst.- 11.5.3 Acute Pain Syndromes Due to Rupture of an Endometriotic Cyst.- 11.5.4 Pseudoappendicitis.- 11.5.5 Pseudoinflammatory Variety.- 11.6 Management of Endometriosis.- 12 Chronic Pelvic Inflammatory Disease.- 12.1 Chronic Parametritis Due to a Chronic Cervical Infection.- 12.2 Chronic Salpingo-Oophoritis.- 12.2.1 Tuberculous Salpingitis.- 12.2.2 Sequelae of Acute PID or “Chronic Salpingo-Oophoritis”.- 12.2.3 Subacute and Recurrent Salpingo-Oophoritis.- 13 Ovarian Pain.- 13.1 Ovarian Cysts.- 13.1.1 Follicle Cysts.- 13.1.2 Lutein Cysts.- 13.1.3 Endometriotic Cysts.- 13.1.4 “Sclerocystic Ovaritis”.- 13.1.5 Recurrent Functional Ovarian Cysts.- 13.2 Ovarian Remnant Syndrome.- 13.3 Residual Ovary Syndrome.- 13.4 Chronic Oophoritis and Perioophoritis.- 13.5 Ovarian Dyspareunia.- 13.6 Ovarian Tumors.- 13.7 Some Rare Causes of Ovarian Pain.- 14 Dyspareunia.- 14.1 Varieties of Dyspareunia.- 14.2 Superficial Dyspareunia.- 14.2.1 Tender Episiotomy Scars.- 14.2.2 Posterior Repair Scars.- 14.2.3 Senile Atrophy.- 14.2.4 Perineal Endometriosis.- 14.3 Vaginal Dyspareunia.- Psychogenic Dyspareunia.- 14.4 Deep Dyspareunia.- 14.5 Psychological Factors.- 15 Acute and Chronic Lower Abdominal Pain of Enterocolic Origin.- 15.1 Innervation and Visceral Sensations.- 15.1.1 Innervation.- 15.1.2 Visceral Sensations.- 15.2 General Considerations of Enterocolic Pain.- 15.2.1 Visceral Pain.- 15.2.2 Somatic Pain.- 15.2.3 Referred Pain.- 15.2.4 Shifting Pain.- 15.3 Abdominal Pain Patterns.- 15.3.1 Location of Pain.- 15.3.2 Duration of Pain.- 15.3.3 Quality of Pain.- 15.4 Enterocolic Disorders Causing Lower Abdominal Pain.- 15.4.1 Irritable Bowel Syndrome.- 15.4.2 Infectious Diarrheas.- 15.4.3 Appendicitis.- 15.4.4 Diverticulitis.- 15.4.5 Inflammatory Bowel Disease.- 15.4.6 Obstruction.- 15.4.7 Tumors.- 15.4.8 Pelvic Abscess.- 15.4.9 Hernias.- 15.4.10 Intestinal Ischemia (Abdominal Angina).- 16 Low Back Pain in Women.- 16.1 Introduction.- 16.2 Definition of Low Back Pain.- 16.3 Medicosocial Importance of Low Back Pain.- 16.4 Origin of Low Back Pain.- 16.5 Investigation of Low Back Pain.- 16.5.1 History.- 16.5.2 Physical Examination.- 16.5.3 Roentgenologic Investigation.- 16.5.4 Special Investigations.- 16.6 Etiology of Low Back Pain.- 16.6.1 Congenital Anomalies.- 16.6.2 Growth Disorders.- 16.6.3 Traumatic Lesions of the Vertebral Column.- 16.6.4 Inflammation.- 16.6.5 Tumors.- 16.6.6 Osteoporosis.- 16.6.7 Postdiskectomy Syndrome.- 16.6.8 Degenerative Changes in the Spine.- 16.6.9 Spinal Stenosis.- 16.6.10 Pathologic Changes in the Sacroiliac Joints.- 16.6.11 Coccygodynia.- 16.6.12 Pubic Symphysis Pain.- 16.7 General Rules of Treatment and Conduct for Patients with Back Complaints.- 17 Chronic Pelvic Pain of Urologic Origin.- 17.1 Introduction.- 17.2 Recurrent Cystourethritis.- 17.3 Intractable Suprapubic Pain Due to Infiltrating Bladder Tumors.- 17.4 Pelvic Kidney Ectopia.- 17.5 Nephroptosis.- 17.6 Ureteral Causes of Pelvic Pain.- 17.6.1 Congenital Ureteral Obstructions.- 17.6.2 Acquired Ureteral Obstructions.- 18 Chronic Pelvic Pain Without Obvious Pathology.- 18.1 Introduction.- 18.2 Description of the Syndrome.- 18.3 Prevalence.- 18.4 Pathogenesis.- 18.4.1 To What Extent Is CPPWOP Due to “Traumatic Laceration of Uterine Support”?.- 18.4.2 Role of Circulatory Disturbances in the Pathogenesis of CPPWOP.- 18.4.3 To What Extent Can the Syndrome Be Explained by Morphological or Functional Modifications in the Internal Genital Organs or in the Parametrium?.- 18.4.4 Psychological Characteristics of Women with CPPWOP.- 18.4.5 A Hypothesis Concerning the Pathogenesis of CPPWOP.- 18.5 Therapeutic Strategy.- 18.5.1 Establishing an Efficient Therapeutic Relationship.- 18.5.2 Psychological Evaluation and Treatment.- 18.5.3 Medical Treatment.- 18.5.4 Surgical Treatment.- 19 Treatment of Pain Due to Gynecologic Tumors Localized in the Pelvis.- 19.1 Introduction.- 19.2 Treatment of Cancer Pain with Analgesic Drugs.- 19.2.1 Pharmacologic Properties of Analgesic Drugs.- 19.2.2 Clinical Aspects of Cancer Pain.- 19.2.3 Therapeutic Use of Analgesic Drugs.- 19.2.4 Concomitant Medication.- 19.2.5 Mode of Administration.- 19.2.6 Side Effects.- 19.3 Treatment of Cancer Pain with Nerve Blocks.- 19.3.1 Midline Pain.- 19.3.2 Unilateral Pain.- 19.4 Neurosurgical Treatment of Cancer Pain of Gynecologic Origin.- 19.4.1 Lesion Techniques.- 19.4.2 Stimulation Techniques.- 19.5 Conclusion.- 20 Subject Index.