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Der chronische Beckenbodenschmerz aus der Sicht der Schmerztherapie

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Der chronische Beckenbodenschmerz

Zusammenfassung

Unter chronischem Beckenbodenschmerz (Chronic Pelvic Pain) fasst man eine Gruppe heterogener Störungen des kleinen Beckens und Beckenbodens zusammen: zum einen Schmerzsyndrome, die wegen schwierig lokalisierbarer Beschwerdeangaben des Patienten, bzw. negativer Untersuchungsbefunde der Fachgebiete nicht zuordenbar sind, zum anderen fokale Schmerzsyndrome, die zwar deskriptiv erfasst aber unverstanden geblieben sind, wie Kokzygodynie, Proktodynie, Prostatodynie/abakterielle Prostatitis, Orchialgie oder Vulvodynie. Trotz intensiver Bemühungen der einzelnen Fachgebiete ist ihre Ätiopathogenese unbekannt, die vergeblichen therapeutischen Bemühungen frustrieren Patient und Arzt. Da schwerwiegende Funktions-und Strukturstörungen wie Inkontinenz oder Prolaps oft ohne Schmerz einhergehen, wird der Beckenbodenschmerz häufig als Epiphänomen bzw. psychogen eingeschätzt.

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  1. U. Drechsel
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  1. DKD — Stiftung Deutsche Klinik für Diagnostik GmbH, Fachbereichsleiter Urologie an der DKD Wiesbaden, Aukammallee 33, 65191, Wiesbaden, Germany

    Walter Merkle

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Drechsel, U., Plato, G. (2003). Der chronische Beckenbodenschmerz aus der Sicht der Schmerztherapie. In: Merkle, W. (eds) Der chronische Beckenbodenschmerz. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57396-5_3

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