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Papers: 18 Dec 2021 - 24 Dec 2021

2021 Dec 20

Cochrane Database Syst Rev


Surgical interventions for the management of chronic pelvic pain in women.


Leonardi M, Armour M, Gibbons T, Cave A, As-Sanie S, Condous G, Cheong YC
Cochrane Database Syst Rev. 2021 Dec 20; 12:CD008212.
PMID: 34923620.


Chronic pelvic pain (CPP) is a common gynaecological condition accounting for 20% of all gynaecological referrals. There are wide ranges of causes with overlapping symptomatology, therefore the management of the condition is a formidable challenge for clinicians. The aetiology of CPP is heterogeneous and in many cases, no clear diagnosis can be reached. It is in this scenario that the label of chronic pelvic pain syndrome (CPPS) can be applied. We defined women with CPPS as having a minimum duration of pain of at least 6 months, including with a diagnosis of pelvic congestion syndrome, but excluding pain caused by a condition such as endometriosis. Many surgical interventions have been tried in isolation or in conjunction with non-surgical interventions in the management with variable results. Surgical interventions are invasive and carry operative risks. Surgical interventions must be evaluated for their effectiveness prior to their prevalent use in the management of women with CPPS.