title: Management of patients with chronic pelvic pain associated with endometriosis refractory to conventional treatment.
abstract: The literature contains numerous studies on the diagnosis, pathogenesis, atypical locations, and clinical (hormonal) and surgical management of the disorder. However, no information is available on the management of endometriosis involving pain refractory to the usual treatment from the perspective of a pain unit. Our hospital has a pain unit specifically dedicated to pain in gynecology and obstetrics. The unit has been functioning since December 2005, and 52% of the attended patients have CPP of different origins. Endometriosis is present in 48% of all patients with CPP and is the most prevalent pathology in our practice. It moreover poses an important challenge in view of its enormous complexity. A descriptive study was made of the management of 44 patients with endometriosis refractory to therapy, evaluated and treated over a period of 3 years in the Pain Unit of the Maternity Center of La Paz University Hospital (Madrid, Spain).
authors.affiliation: Pain Unit, Department of Obstetric Anesthesia, Madrid Autónoma University, Hospital Universitario La Paz, Madrid, Spain. blance@terra.es
authors.forename: Blanca
authors.initials: B
authors.lastname: Martínez
authors.forename: Enrique
authors.initials: E
authors.lastname: Canser
authors.forename: Elena
authors.initials: E
authors.lastname: Gredilla
authors.forename: Eduardo
authors.initials: E
authors.lastname: Alonso
authors.forename: Fernando
authors.initials: F
authors.lastname: Gilsanz
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D002908:Chronic Disease; D004599:Electric Stimulation Therapy / Q000379:methods; D004715:Endometriosis / Q000150:complications* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D017699:Pelvic Pain / Q000150:complications* / Q000628:therapy*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D000927:Anticonvulsants; D000928:Antidepressive Agents