BACKGROUND Prior study has shown that right paracolic adhesions are found in 90% of patients with chronic pelvic pain and less frequently in pain-free patients. We set out to determine whether paracolic adhesiolysis will reduce site-specific pain. METHODS This was a prospective, randomized trial of right paracolic adhesiolysis at the time of diagnostic and operative laparoscopy for chronic pe...

Pelvic lipomatosis is a rare benign disease, associated with overgrowth of fat in the perivesical and perirectal area. It is of unknown etiology. We describe a 45-year-old male with pelvic lipomatosis causing bladder storage dysfunction symptoms and pelvic pain that affected his quality of life. Surgical excision of the pelvic mass with bladder preservation was performed. After surgery, the pat...

[Purpose] This study was conducted to quantify the effect of sling exercise therapy in the recovery of lumbosacral sagittal alignment (LSA) and in the control of low back pain. [Subjects and Methods] A total of 102 chronic low back pain patients were divided into two groups, a physical therapy group and a sling exercise group. In both groups, programs were conducted thrice a week for twelve wee...

PURPOSE To report the effects of combined onabotulinumtoxinA (Botox) injections and myofascial release physical therapy on myofascial pelvic pain (MFPP) by comparing pre- and posttreatment average pelvic pain scores, trigger points, and patient self-reported pelvic pain. Secondary outcomes were to examine posttreatment complications and determine demographic differences between patients with/wi...

Quick ML, Mukherjee S, Rudick CN, Done JD, Schaeffer AJ, Thumbikat P. CCL2 and CCL3 are essential mediators of pelvic pain in experimental autoimmune prostatitis. Am J Physiol Regul Integr Comp Physiol 303: R580–R589, 2012. First published July 18, 2012; doi:10.1152/ajpregu.00240.2012.—Experimental autoimmune prostatitis (EAP) is a murine model of chronic prostatitis/chronic pelvic pain syndrom...

Acute pain caused by pelvic pathology is common, and the presenting complaint may be diffuse or lower abdominal pain, pelvic pain, or low back pain. A patient with chronic pelvic pain may also have an acute process, either related to the chronic condition or arising de novo. Over one third of reproductive-age women will experience nonmenstrual pelvic pain. Among diagnoses for women with pain ca...