Skip to main content

Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

In pelvic diseases, pain is a common and debilitating symptom with variable etiology. It can occur suddenly, sharply, and briefly (acute pelvic pain) or over the long term (chronic pelvic pain). Chronic pelvic pain refers to any constant or intermittent pelvic pain and is defined in a variety of ways. The most commonly used definitions consider both pain location and duration. In 1994, Campbell and Collett [1] defined it as “recurrent or constant pain in the lower abdominal region that has lasted for at least six months”. A similar definition was proposed by the American Congress of Obstetricians and Gynecologists: “non-cyclic pain of six or more months’ duration that localizes to the anatomic pelvis, anterior abdominal wall at or below the umbilicus, the lumbosacral back, or the buttocks, and is of sufficient severity to cause functional disability or lead to medical care” [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Campbell F, Collett BJ (1994) Chronic pelvic pain. Br J Anaesth 73(5):571–573

    Article  CAS  PubMed  Google Scholar 

  2. ACOG Committee on Practice Bulletins – Gynecology (2004) ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol 103(4):589–605

    Google Scholar 

  3. Costigan M, Scholz J, Woolf CJ (2009) Neuropathic pain: a maladaptive response of the nervous system to damage. Annu Rev Neurosci 32:1–32

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Zondervan KT, Yudkin PL, Vessey MP et al (1999) Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol 106(11):1149–1155

    Article  CAS  PubMed  Google Scholar 

  5. Mathias SD, Kuppermann M, Liberman RF et al (1996) Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 87(3):321–327

    Article  CAS  PubMed  Google Scholar 

  6. Casey EB, Jellife AM, Le Quesne PM, Millett YL (1973) Vincristine neuropathy. Clinical and electrophysiological observations. Brain 96(1):69–86

    Article  CAS  PubMed  Google Scholar 

  7. Weng HR, Cordella J V, Dougherty PM (2003) Changes in sensory processing in the spinal dorsal horn accompany vincristine-induced hyperalgesia and allodynia. Pain 103(1-2):131–138

    Article  CAS  PubMed  Google Scholar 

  8. Jacox A, Carr DB, Payne R (1992) Management of cancer pain. Clinical practice guideline no. 9. U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; Rockville: MD

    Google Scholar 

  9. Miaskowski C, Cleary J, Burney R et al (2005) Guideline for the management of cancer pain in adults and children. American Pain Society: Glenview

    Google Scholar 

  10. World Health Organization (1996) Cancer pain relief with a guide to opioid availability, 2nd ed. World Health Organization: Geneva

    Google Scholar 

  11. Jadad AR, Browman GP (1995) The WHO analgesic ladder for cancer pain management. Stepping up the quality of its evaluation. JAMA 274(23):1870–1873

    Article  CAS  PubMed  Google Scholar 

  12. Zech DF, Grond S, Lynch J et al (1995) Validation of World Health Organization Guidelines for cancer pain relief: a 10-year prospective study. Pain 63(1):65–76

    Article  CAS  PubMed  Google Scholar 

  13. Cleeland CS, Mendoza TR, Wang XS et al (2000) Assessing symptom distress in cancer patients: the M.D. Anderson Symptom inventory. Cancer 89(7):1634–1646

    Article  CAS  PubMed  Google Scholar 

  14. Derry S, Wiffen PJ, Aldington D, Moore RA (2015) Nortriptyline for neuropathic pain in adults. Cochrane Database Syst Rev 2015;1:CD011209

    Google Scholar 

  15. Lunn MP, Hughes RA, Wiffen PJ (2014) Duloxetine for treating painful neuropathy, chronic pain or fibromyalgia. Cochrane Database Syst Rev 2014;1:CD007115

    Google Scholar 

  16. Moore RA, Wiffen PJ, Derry S et al (2014) Gabapentin for chronic neuropathic pain and fibromyalgia in adults. Cochrane Database Syst Rev 2014;4:CD007938.

    Google Scholar 

  17. Ripamonti CI, Santini D, Maranzano E et al (2012) Management of cancer pain: ESMO clinical practice guidelines. Ann Oncol 23(suppl 7):vii139–vii154

    Article  PubMed  Google Scholar 

  18. Caraceni A, Hanks G, Kaasa S and the European Palliative Care Research Collaborative (EPCRC) and the European Association for Palliative Care (EAPC) (2012) Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC. Lancet Oncol 13(2):e58–e68

    Article  CAS  PubMed  Google Scholar 

  19. Camilleri M (2011) Opioid-induced constipation: challenges and therapeutic opportunities. Am J Gastroenterol 106(5):835–843

    Article  CAS  PubMed  Google Scholar 

  20. Cuomo A, Russo G, Esposito G et al (2014) Efficacy and gastrointestinal tolerability of oral oxycodone/naloxone combination for chronic pain in outpatients with cancer: an observational study. Am J Hosp Palliat Care 31(8):867–876

    Article  PubMed  Google Scholar 

  21. American Pain Foundation (2011) Breakthrough cancer pain: mending the break in the continuum of care. J Pain Palliat Care Pharmacother 25(3):252–264

    Article  CAS  PubMed  Google Scholar 

  22. World Health Organization (1997) Traitement de la douleur cancéreuse, World Health Organization: Geneva

    Google Scholar 

  23. Eisenberg E, Marinangeli F, Birkhahm J et al (2005) Time to modify the WHO analgesic leader? Pain Clin Update 13(5):1–4

    Google Scholar 

  24. Gómez-Cortéz MD, Rodríguez-Huertas F (2000) Reevaluación del segundo escalón de la escalera analgésica de la OMS. Rev Soc Esp Dolor 7(6):343–344

    Google Scholar 

  25. Vargas-Schaffer G (1999) Manejo y tratamiento del dolor oncológico. In: Vargas-Schaffer G, Esposito Quercia G, editors. Dolor y cuidados paliativos en oncologia. evaluación, manejo y tratamiento. Ediciones Expansión Científica G&S: Caracas, pp. 79–93

    Google Scholar 

  26. Grisell Vargas-Schaffer (2010) Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician 56(6):514–517

    Google Scholar 

  27. Krakowski I, Falcoff H, Gestin Y et al (1998) Recommandation pour une bonne pratique dans la prise en charge de la douleur du cancer chez l’adulte et l’enfant. Nice, Fr: Societé Française de la Douleur, Agency for Health Care Policy and Research, pp. 11–15

    Google Scholar 

  28. Caraceni A, Portenoy R K (1996) Pain management in patients with pancreatic carcinoma. Cancer 78(3 Suppl):639–653

    Article  CAS  PubMed  Google Scholar 

  29. de Leon-Casasola OA, Kent E, Lema MJ (1993) Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer. Pain 54(2):145–151

    Article  PubMed  Google Scholar 

  30. Plancarte R, Amescua C, Patt RB, Aldrete JA (1990) Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology 73(2):236–239

    Article  CAS  PubMed  Google Scholar 

  31. Plancarte R, de Leon-Casasola OA, El-Helaly M et al (1997) Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer. Reg Anesth 22(6):562–568

    CAS  PubMed  Google Scholar 

  32. Christo J, Hobelmann G (2009) Pelvic Pain. In: Smith HS (ed) Current Therapy in Pain. 1st edn. Saunders-Elsevier: Philadelphia, pp. 216–227

    Chapter  Google Scholar 

  33. Waldman S (2009) Hypogastric Plexus Block. In: Waldman SD (ed) Pain review. 1st edn. Saunders-Elsevier: Philadelphia, pp. 538–541

    Chapter  Google Scholar 

  34. Waldman S (2004) Atlas of Interventional Pain Management. 2nd edn. Saunders-Elsevier: Philadelphia

    Google Scholar 

  35. Plancarte R, Amescua C, Patt RB, Allende S (1990) Presacral blockade of the ganglion of Walter (ganglion impar). Anesthesiology 73(3A):A751

    Google Scholar 

  36. Gupta D, Jain R, Mishra S et al (2008) Ultrasonography reinvents the originally described technique for ganglion Impar neurolysis in perianal cancer pain. Anesth Analg 107(4):1390–1392

    Article  PubMed  Google Scholar 

  37. Malec-Milewska M, Horosz B, Kolęda I et al (2014) Neurolytic block of ganglion of Walther for the management of chronic pelvic pain. Wideochir Inne Tech Malo Inwazyjne 9(3):458-462

    PubMed Central  PubMed  Google Scholar 

  38. Ohhigashi S, Nishio T, Watanabe F, Matsusako M (2001) Experience with radiofrequency ablation in the treatment of pelvic recurrence in rectal cancer: report of two cases. Dis Colon Rectum 44(5):741–745

    Article  CAS  PubMed  Google Scholar 

  39. Wilsey C, Ashford NS, Dolin SJ (2002) Presacral neurolytic blocks for relief of pain from pelvic cancer: description and use of CT Guided lateral approach. Palliat Med 16(5):441–444

    Article  CAS  PubMed  Google Scholar 

  40. Zekry HA, Reddy SK (1999) Opioid and nonopioid therapy in cancer pain: the traditional and the new. Curr Rev Pain 3(3):237–247

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marco Cascella .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Italia

About this chapter

Cite this chapter

Cascella, M., Bifulco, F., Di Caprio, B., Cuomo, A. (2016). Pain Control and Palliative Treatments. In: Romano, G.M. (eds) Multimodal Treatment of Recurrent Pelvic Colorectal Cancer. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5767-8_13

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5767-8_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5766-1

  • Online ISBN: 978-88-470-5767-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics