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?

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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: Apr 1, 2016

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