Gastroenterologic Urologic Gynecologic Musculoskeletal Other Constipation Interstitial cystitis Adenomyosis Myofascial pain Chronic pain Hemorrhoids Anal fissures Chronic proctalgia Chronic pelvic pain syndrome Chronic UTI Endometriosis Menstrual cramps Ectopic pregnancy Nerve…
Fig. 2.1 Trajectory of the nerves in the pelvis, including the genitofemoral, ilioinguinal, and iliohypogastric nerves, often together known as the border nerves as they are responsible for providing sensation…
Therefore, if a small dosage of drug is given intrathecally, the small volume of distribution in the CSF will lead to a more potent effect than if that same dose…
Fig. 8.1 Vaginal Scarring and mesh exposure (Photograph credit: Karolynn Echols, MD) Chronic mesh pain syndrome (CMPS) is another related sequela where pain following TVM persists greater than 90 days…
Fig. 13.1 Five-factor model of any human experience These components are cemented together in a composite form by the attending memories, which provide a personalized context to the other four…
Fig. 4.1 Posterior view of the sacroiliac joint and its associated ligaments Although the structure of the SIJ is well defined, its exact role has been contentious from being considered…
Fig. 6.1 The arrows depict the left L3–L4 and L4–L5 facet joints (From Cosgrove et al. [12]) Physical exam maneuvers, such as bending, extension, and rotation of the back, aggravate…
© Springer International Publishing Switzerland 2017Michael Sabia, Jasjit Sehdev and William Bentley (eds.)Urogenital Pain10.1007/978-3-319-45794-9_3 3. Myofascial Pelvic Pain Henry C. Chou1 , Robert Kelly2 and David Huaguang Qu2 (1) Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA (2) Highpoint…
Filling and storage Coarse sensation Compliance Contractions (involuntary detrusor) Continence Cystometric capacity Emptying Contractility Coordination Complete emptying Clinical obstruction The “Cs” are not specific for all types of urinary dysfunction…
Fig. 8.1 UDS tracing of primary bladder neck obstruction Fig. 8.2 Fluoroscopy demonstrating Crede maneuver to void (rings) Findings Involuntary contraction was present starting at 113 cm3. At 138 cm3…
