Characteristics of symptoms and psychosomatic status in women with chronic pelvic pain syndrome

Abstract

This study assesses the severity of symptoms and psychosomatic status in 177 women with chronic pelvic pain syndrome. Pain in the bladder was registered in all patients, 86 (48.6%) women had pain along the urethra and 67 (37.6%) women had pain in the vagina. Pain in the bladder increased during filling of the bladder in 94 (53.1%) patients and decreased in 48 (27.1%) patients. Urination disorders were observed in 174 (98.3%) patients. Psychosomatic disorders reported in 166 (93.8%) of 177 patients and in 88 (49.7%) of them showed signs of moderate or severe depression. These characteristics of the symptoms must be considered during planning the therapeutic treatment of this group of patients.

Keywords

chronic pelvic pain / bladder pain syndrome / symptoms

References

[1] Guidelines on Chronic Pelvic Pain/Engeler D., Baranowski A. P., Borovicka J., Cottrell A. et al. European Association of Urology 2015. 83 p.

[2] Abrams P., Cardozo L., Fall M. et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommitte of the International Continence Society // Urology. 2003. Vol. 61, N 1. P. 37-49.

[3] Белова А. Н. Хроническая тазовая боль. М.: Антидор, 2007. 572 с.

[4] Berry S. H., Elliott M. N., Suttorp M. et al. Prevalence of symptoms of bladder pain syndrome/interstitial cystitis among adult females in the United States // J Urol. 2011. Vol. 186, N 2. P. 540-544.

[5] Malykhinf A. P. Neural mechanisms of pelvic organ cross-sensitization//Neuroscience. 2007. Vol. 149, N 3. P. 660-672.

[6] Лоран О. Б., Зайцев А. В., Годунов Б. Н. Особенности диагностики и лечения хронического цистита у женщин // Акушерство и гинекология. 2000. № 3. С. 40-43.

[7] Аблуллаева У. А. Современные аспекты комплексного лечения хронических тазовых болей в гинекологической практике: автореф. дис… канд. мед. наук. М., 2004. 24 с.

[8] Michael Y. L., Kawachi I., Stampfer M. J. et al. Quality of life among women with interstitial cystitis // J Urology. 2000. Vol. 164, N 2. P. 423-427.

[9] Кузьмин И. В. Оценка качества жизни у больных с гиперактивностью мочевого пузыря // Нефрология. 2006. Т. 10, № 4. С. 93-97.

[10] Graziottin A., Gambini D., Bertolasi L. Genital and sexual pain in women // Handb Clin Neurol. 2015. Vol. 130. P. 395-412.

[11] Rothrock N. E., Lutgendorf S. K., Hoffman A., Kreder K. J. Depressive symptoms and quality of life in patients with interstitial cystitis // J Urology. 2002. Vol. 167, N 4. P. 1763-1767.

[12] Савицкий Г. А., Иванова Р. Д., Щеглов И. Ю., Попов П. А. Хирургическое лечение синдрома тазовых болей в гинекологической клинике. СПб., 2000. 137 с.

[13] Слесаревская М. Н., Соколов А. В., Жарких А. В. Преимущества лазерной коагуляции лейкоплакии мочевого пузыря // Урологические ведомости - 2012. Т. 2, № 1.С. 19-25.

[14] Слесаревская М. Н., Соколов А. В., Жарких А. В., Кузьмин И. В. Применение внутрипузырной лазерной терапии в комплексном лечении хронического цистита // Урологические ведомости. 2013. Т. 3, № 2. С. 12-15.

[15] Parsons C. L., Dell J., Stanford E. J. et al. Increased prevalence of interstitial cystitis: previously unrecognized urologic and gynecologic cases identified using a new symptom questionnaire and intravesical potassium sensitivity // Urology. 2002. Vol.60, N 4. P. 573-578.

[16] Beck A. T., Ward C. H., Mendelson M. et al. An inventory for measuring depression // Arch Gen Psychiatry. 1961. Vol. 4. P. 561-571.

RIGHTS & PERMISSIONS

Slesarevskaya M.N., Kuzmin I.V., Ignashov Y.A.