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Full Author: John F. Steege, MD, Professor, Department of Obstetrics & Gynecology, Chief Division of Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, Deborah A. Metzger, PhD, MD, Director, Reproductive Medicine Institute of Connecticut, Hartford, CT, Associate Professor, Department of Obstetrics & Gynecology, Yale University School of Medicine, New Haven, CT, Barbara Levy, MD, FACOG, FACS, Clinical Assistant Professor of Obstetrics & Gynecology, University of Washington School of Medicine, Seattle, WA, Chief of Staff, St. Francis Hospital, Federal Way, WA.
Description: Here's the only comprehensive book on the diagnosis and management of chronic pelvic pain. It provides a practical, multidisciplinary approach to evaluating a broad range of common problems including adhesions, endometriosis, sexual dysfunction, and pain after hysterectomy. Pelvic pain beyond the female reproductive organs, including gastrointestinal disorders, musculoskeletal problems, and neuropathic pain is also discussed. It also covers the psychological and general surgical aspects of chronic pelvic pain for a well-rounded exploration of this common, yet complex problem.
Features: OUTSTANDING FEATURES: * Provides cross-referencing between chapters for a thorough understanding of how multiple contributing factors can lead to chronic pain. * Presents a comprehensive chapter on pain assessment, including the psychological tests commonly used in chronic pain evaluation. * Covers imaging and endoscopic studies, including new laparoscopic techniques such as pain mapping via microlaparoscopy. * Illustrates the surgical landmarks of common gynecologic surgeries for a better understanding of the risks of nerve injury. * Reviews the diagnosis and treatment of musculoskeletal problems, including basic back and pelvic muscle mechanics, and the strategies used by physical therapists.
Contents: CONTENTS: Scope of the Problem. Basic Philosophy of the Integrated Approach: Overcoming the Mind-Body Split. Sexual and Physical Abuse and Chronic Pelvic Pain. One Patient's Experience. Basic Pelvic Neuroanatomy. History. Physical Examination. Pain Intensity, Psychiatric Diagnoses, and Psychosocial Factors: Assessment Rationale and Procedures. Sexual Dysfunction. Pelvic Pain in the Adolescent. Diagnostic Studies. Laparoscopy in the Diagnosis. Adhesions and Pelvic Pain. An Integrated Approach to the Management of Endometriosis. Pain after Hysterectomy. Miscellaneous Causes of Pelvic Pain. Pelvic Congestion. Nerve Cutting Procedures for Pelvic Pain. Uterine Suspension. Vulvar Vestibulitis. Vulvodynia. Bladder and Urethral Syndromes. Gastrointestinal Disorders. Musculoskeletal Problems. Neuropathic Pain. Myofascial Syndromes. Psychiatric Illness. General Principles of Pain Management. Taking Care of Patients: The Caregiver's Perspective. Pain Medicine and the Role of Neurologic Blockade in Evaluation. Research Directions. General Surgical Aspects. Microlaparoscopy.