Zusammenfassung
Beim chronischen Unterbauchschmerz ergibt sich die grundsätzliche Schwierigkeit, dem Schmerzsymptom eine eindeutige Diagnose zuzuordnen. Sowohl körperliche als auch psychosoziale Faktoren sind in einer Zusammenschau zu sehen und im Einzelfall zu gewichten.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Aboseif S, Tamaddon K, Chalfin S, Freedman S, Kaptein J (2002) Sacral neuromodulation as an effective treatment for refractory pelvic floor dysfunction. Urology 60 (1): 52–56 (Level 2b)
Baker PN, Symonds EM (1992) The resolution of chronic pelvic pain after normal laparoscopy findings. Am J Obstet Gynecol 166 (3): 835–836 (Level 2b)
Butrick CW (2007) Chronic pelvic pain: how many surgeries are enough? Clin Obstet Gynecol 50 (2): 412–424 (Allgemeiner Review)
Chan CL, Wood C (1985) Pelvic adhesiolysis – the assessment of symptom relief by 100 patients. Aust N Z J Obstet Gynaecol 25 (4): 295–298 (Level 2b)
Cunanan RG Jr, Courey NG, Lippes J (1983) Laparoscopic findings in patients with pelvic pain. Am J Obstet Gynecol 146 (5): 589–591 (Level 2b)
Deutsche Gesellschaft für Psychosomatische Frauenheilkunde und Geburtshilfe – DGPFG (Hrsg) (2009) Der chronische Unterbauchschmerz der Frau, Leitlinie der Deutschen Gesellschaft für Psychosomatische Frauenheilkunde und Geburtshilfe. S. Kramarz Verlag, Berlin (Guideline)
Duffy S (2001) Chronic pelvic pain: defining the scope of the problem. Int J Gynaecol Obstet 74(Suppl 1): S3–S7 (Allgemeiner Review)
Dwarakanath LS, Persad PS, Khan KS (1998) Role of laparoscopy in the management of chronic pelvic pain. Hosp Med 59 (8): 627–631 (Allgemeiner Review)
Egle UT (1993) Die biographische Anamnese als diagnostische Grundlage im Rahmen eines bio-psycho-sozialen Schmerzverständnisses. In: Egle UT, Hoffmann SO, editors. Der Schmerzkranke. Grundlagen, Pathogenese, Klinik und Therapie chronischer Schmerzen aus bio-psycho-sozialer Sicht. Schattauer, Stuttgart, S 182–190 (Level 5)
Engel CC Jr, Walker EA, Engel AL, Bullis J, Armstrong A (1998) A randomized, double-blind crossover trial of sertraline in women with chronic pelvic pain. J Psychosom Res 44 (2): 203–207 (Level 1b)
Ghaly AF, Chien PW (2000) Chronic pelvic pain: clinical dilemma or clinician’s nightmare. Sex Transm Infect 76 (6): 419–425 (Allgemeiner Review)
Gowri V, Krolikowski A (2001) Chronic pelvic pain. Laparoscopic and cystoscopic findings. Saudi Med J 22 (9): 769–770 (Level 4)
Gray-Swain MR, Peipert JF (2006) Pelvic inflammatory disease in adolescents. Curr Opin Obstet Gynecol 18 (5): 503–510 (Allgemeiner Review)
Greimel ER (1999) Unterbauchschmerzen ohne Organbefund – ein Leitsymptom für somatoforme Störungen? Geburtshilfe Frauenheilkd 59: 458–464 (Level 4)
Greimel ER, Thiel I (1999) [Psychological treatment aspects of chronic pelvic pain in the woman]. Wien Med Wochenschr 149 (13): 383–387 (Level 5)
Hahn MB, Jones MM, Carron H (1989) Idiopathic pelvic pain. The relationship to depression. Postgrad Med 85 (4): 263–6, 268, 270 (Allgemeiner Review)
Harris RD, Holtzman SR, Poppe AM (2000) Clinical outcome in female patients with pelvic pain and normal pelvic US findings. Radiology 216 (2): 440–443 (Level 2b)
Howard FM (2000) The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol 14 (3): 467–494 (Allgemeiner Review)
Johnson NP, Farquhar CM, Crossley S, Yu Y, Van Peperstraten AM, Sprecher M et al. (2004) A double-blind randomised controlled trial of laparoscopic uterine nerve ablation for women with chronic pelvic pain. Br J Obstet Gynaecol 111 (9): 950–959 (Level 1b)
Keckstein J, Ulrich U (2004) Endokrine und operative Therapie der Adenomyosis. Gynäkol Endikrinol 2: 11–18 (Level 4)
Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R et al. (2005) ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod 20(10): 2698–2704
(Guideline) Kim SW, Paick JS, Ku JH (2007) Percutaneous posterior tibial nerve stimulation in patients with chronic pelvic pain: a preliminary study. Urol Int 78 (1): 58–62 (Level 2b)
Lamvu G, Tu F, As-Sanie S, Zolnoun D, Steege JF (2004) The role of laparoscopy in the diagnosis and treatment of conditions associated with chronic pelvic pain. Obstet Gynecol Clin North Am 31 (3): 619–630 (Allgemeiner Review)
Mecke H (1992) [Pelviscopic adhesiolysis in chronic pelvic pain – laser versus conventional techniques]. Geburtshilfe Frauenheilkd 52 (1): 47–50 (Level 2b)
Nagel B, Gerbershagen HU, Lindena G, Pfingsten M (2002) Development and evaluation of the multidimensional German pain questionnaire]. Schmerz 16(4): 263–270
Ng C, Trew G (2006) Common Causes and protocol for investigation of chronic pelvic pain. In: Li TC, Ledger WL (eds) Chronic pelvic pain. Taylor & Francis, Abingdon UK, pp 15–36 (Allgemeiner Review)
Os-Bossagh P, Pols T, Hop WC, Nelemans T, Erdmann W, Drogendijk AC et al. (2002) Questionnaire as diagnostic tool in chronic pelvic pain (CPP): a pilot study. Eur J Obstet Gynecol Reprod Biol 103 (2): 173–178 (Level 4)
Perry CP (2003) Peripheral neuropathies and pelvic pain: diagnosis and management. Clin Obstet Gynecol 46 (4): 789–796 (Allgemeiner Review)
Peters AA, Dorst E van, Jellis B, Zuuren E van, Hermans J, Trimbos JB (1991) A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstet Gynecol 77 (5): 740–744 (Level 1b)
Peters AA, Trimbos-Kemper GC, Admiraal C, Trimbos JB, Hermans J (1992) A randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynaecol 99 (1): 59–62 (Level 1b)
Porpora MG, Gomel V (1997) The role of laparoscopy in the management of pelvic pain in women of reproductive age. Fertil Steril 68 (5): 765–779 (Allgemeiner Review)
Possover M, Baekelandt J, Flaskamp C, Li D, Chiantera V (2007) Laparoscopic neurolysis of the sacral plexus and the sciatic nerve for extensive endometriosis of the pelvic wall. Minim Invasive Neurosurg 50 (1): 33–36 (Level 3)
Prentice A (2000) Medical management of chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol 14 (3): 495–499 (Allgemeiner Review)
Reisner LA (1997) Etiology and management of chronic pelvic pain syndromes. J Pharmaceut Care Pain Symptom Control 5 (4): 31–48 (Allgemeiner Review)
Richter HE, Holley RL, Chandraiah S, Varner RE (1998) Laparoscopic and psychologic evaluation of women with chronic pelvic pain. Int J Psychiat Med 28(2): 243–253
Sator-Katzenschlager SM, Scharbert G, Kress HG, Frickey N, Ellend A, Gleiss A et al. (2005) Chronic pelvic pain treated with gabapentin and amitriptyline: a randomized controlled pilot study. Wien Klin Wochenschr 117 (21–22): 761–768 (Level 1b)
Scialli AR (1999) Evaluating chronic pelvic pain. A consensus recommendation. Pelvic Pain Expert Working Group. J Reprod Med 44 (11): 945–952 (Guideline)
Stojanovic MP (2001) Stimulation methods for neuropathic pain control. Curr Pain Headache Rep 5 (2): 130–137 (Allgemeiner Review)
Stones RW, Price C (2002) Health services for women with chronic pelvic pain. J R Soc Med 95 (11): 531–535 (Allgemeiner Review)
Stones W, Cheong YC, Howard FM (2000) Interventions for treating chronic pelvic pain in women. Cochrane Database Syst Rev 4: CD000387
Stones RW, Bradbury L, Anderson D (2001) Randomized placebo controlled trial of lofexidine hydrochloride for chronic pelvic pain in women. Hum Reprod 16 (8): 1719–1721 (Level 1b)
Swank DJ, Swank-Bordewijk SC, Hop WC, Erp WF van, Janssen IM, Bonjer HJ et al. (2003) Laparoscopic adhesiolysis in patients with chronic abdominal pain: a blinded randomised controlled multi-centre trial. Lancet 361 (9365): 1247–1251 (Level 1b)
Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Müller-Lissner SA (1999) Functional bowel disorders and functional abdominal pain. Gut 45(Suppl 2): II43–II47 (Guideline)
Vercellini P, Fedele L, Molteni P, Arcaini L, Bianchi S, Candiani GB (1990) Laparoscopy in the diagnosis of gynecologic chronic pelvic pain. Int J Gynaecol Obstet 32 (3): 261–265 (Level 4)
Vercellini P, Fedele L, Bianchi S, Candiani GB (1991) Pelvic denervation for chronic pain associated with endometriosis: fact or fancy? Am J Obstet Gynecol 165 (3): 745–749 (Allgemeiner Review)
Vercellini P, Aimi G, Busacca M, Apolone G, Uglietti A, Crosignani PG (2003) Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: results of a randomized, controlled trial. Fertil Steril 80 (2): 310–319 (Level 1b)
Waldman SD, Wilson WL, Kreps RD (1991) Superior hypogastric plexus block using a single needle and computed tomography guidance: description of a modified technique. Reg Anesth 16 (5): 286–287 (Level 2b)
Walker EA, Sullivan MD, Stenchever MA (1993) Use of antidepressants in the management of women with chronic pelvic pain. Obstet Gynecol Clin North Am 20 (4): 743–751 (Allgemeiner Review)
Wesselmann U, Czakanski PP (2001) Pelvic pain: a chronic visceral pain syndrome. Curr Pain Headache Rep 5 (1): 13–19 (Allgemeiner Review)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Siedentopf, F. (2013). Chronischer Unterbauchschmerz. In: Wacker, J., Sillem, M., Bastert, G., Beckmann, M. (eds) Therapiehandbuch Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30189-6_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-30189-6_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-30188-9
Online ISBN: 978-3-642-30189-6
eBook Packages: Medicine (German Language)