Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive?

Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive? In this issue of the Scandinavian Journal of Pain, Satu Pokki-nen and coworkers report from a small prospective observational study of patients examined median 30 months after laparoscopic and vaginal hysterectomy for benign conditions in two hospitals in Tampere, Finland [1]. The authors included patients who previously had participated in a questionnaire study, where as many as 26% of the responders (59 out of 227) reported pelvic pain 6 months after surgery [2]. Those reporting pain were further invited to participate in this clinical follow-up study. However, only 16 patients were willing to be included.The reported post-operative clinical assessment included a gynaecological examination and a sensory examination performed by two different physicians. The gynaecological examination included inspection of the vulva and vagina, as well as a bimanual palpation of the pelvic area. The sensory examination of the lower abdomen/groin and the vulvar/perineal area was then performed by an anaesthesiologist specialised in pain medicine. A cotton stick was first used for assessing dysfunction in the low-threshold mechanoreceptor system (touch). Furthermore, the nociceptors/thermoreceptor system were tested using a special thermal roller instrument, as well as a pin prick with a wooden tooth pick. In each case, the patient was asked to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive?

Loading next page...
 
/lp/degruyter/assessment-of-persistent-pelvic-pain-after-hysterectomy-neuropathic-or-xphpiMXSks
Publisher
De Gruyter
Copyright
© 2016 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2016.01.006
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain, Satu Pokki-nen and coworkers report from a small prospective observational study of patients examined median 30 months after laparoscopic and vaginal hysterectomy for benign conditions in two hospitals in Tampere, Finland [1]. The authors included patients who previously had participated in a questionnaire study, where as many as 26% of the responders (59 out of 227) reported pelvic pain 6 months after surgery [2]. Those reporting pain were further invited to participate in this clinical follow-up study. However, only 16 patients were willing to be included.The reported post-operative clinical assessment included a gynaecological examination and a sensory examination performed by two different physicians. The gynaecological examination included inspection of the vulva and vagina, as well as a bimanual palpation of the pelvic area. The sensory examination of the lower abdomen/groin and the vulvar/perineal area was then performed by an anaesthesiologist specialised in pain medicine. A cotton stick was first used for assessing dysfunction in the low-threshold mechanoreceptor system (touch). Furthermore, the nociceptors/thermoreceptor system were tested using a special thermal roller instrument, as well as a pin prick with a wooden tooth pick. In each case, the patient was asked to

Journal

Scandinavian Journal of Painde Gruyter

Published: Dec 29, 2017

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial