Intervention Review

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Non-surgical interventions for the management of chronic pelvic pain

  1. Ying C Cheong1,*,
  2. Grisham Smotra1,
  3. Amanda C de C Williams2

Editorial Group: Cochrane Gynaecology and Fertility Group

Published Online: 5 MAR 2014

DOI: 10.1002/14651858.CD008797.pub2


How to Cite

Cheong YC, Smotra G, Williams ACDC. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD008797. DOI: 10.1002/14651858.CD008797.pub2.

Author Information

  1. 1

    University of Southampton, Obstetrics and Gynaecology, Southampton, UK

  2. 2

    University College London, Research Department of Clinical, Educational & Health Psychology, London, UK

*Ying C Cheong, Obstetrics and Gynaecology, University of Southampton, Level F, Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA, UK. yingcheong@hotmail.com. Y.Cheong@soton.ac.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 5 MAR 2014

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Abbott 2006 {published data only}
  • Abbott JA, Jarvis SK, Lyons SD, Thomson A, Vancaille TG. Botulinum toxin type A for chronic pain and pelvic floor spasm in women. American College of Obstetricians and Gynecologists 2006;108(4):915-23.
Brown 2002 {published data only}
  • Brown CS, Ling FW, Wan JY, Pilla AA. Efficacy of static magnetic field therapy in chronic pelvic pain: a double-blind pilot study. American Journal of Obstetrics and Gynaecology 2002;187:1581-7.
Engel 1998 {published data only}
  • Engel CC Jr, Walker EA, Engel AL, Bullis J, Armstrong A. A randomized double-blind crossover trial of sertraline in women with chronic pelvic pain. Journal of Psychosomatic Research 1998;44(2):203-7.
Farquhar 1989 {published data only}
Ghaly 1994 {published data only}
  • Ghaly AFF. The psychological and physical benefits of pelvic ultrasonography in patients with chronic pelvic pain and negative laparoscopy. A random allocation trial. Journal of Obstetrics and Gynaecology 1994;14:269-71.
Haugstad 2008 {published data only}
  • Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz S, Klemmetsen I, et al. Continuing improvement of chronic pelvic pain in women after short-term Mensendieck somatocognitive therapy: results of a 1-year follow-up study. American Journal Obstetrics and Gynaecology 2008;199:199:615.e1-615.e8.
Heyman 2006 {published data only}
Norman 2004 {published data only}
  • Norman SA, Lumley MA, Dooley JA, Diamond MP. For whom does it work? Moderators of the effects of written emotional disclosure in a randomised trial among women with chronic pelvic pain. Psychosomatic Medicine 2004;66:174-83.
Peters 1991 {published data only}
  • Peters AAW, van Dorst E, Jellis B, van Zuuren E, Hermans J, Trimbos JB. A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstetrics and Gynecology 1991;77(5):740-4.
Sator-Katzenschlager 2005 {published data only}
  • Sator-katzenschlager SM, Scharbert G, Kress GH, Frickey N, Ellend A, Gleiss A, et al. Chronic pelvic pain treated with gabapentin and amitriptyline: a randomized controlled pilot study. Wien klin Wochenschr 2005;117(21-22):761-8.
Soysal 2001 {published data only}
Stones 2001 {published data only}
Walton 1992 {published data only}
  • Walton SM, Batra HK. The use of medroxyprogesterone acetate 50mg in the treatment of painful pelvic conditions: preliminary results from a multicentre trial. Journal of Obstetrics and Gynaecology 1992;12(suppl 2):s50-3.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Brown 2008 {published data only}
Elcombe 1997 {published data only}
Fenton 2008 {published data only}
  • Fenton BW, Palmieri PA, Boggio P, Fanning J, Fregni F. A preliminary study of transcranial direct current stimulation for the treatment of refractory chronic pelvic pain. Brain Stimulation 2009;2:103-7.
Onwude 2004 {published data only}
  • Onwude JL, Thornton JG, Morley S, Lilleyman J, Currie I, Lilford RJ. A randomised trial of photographic reinforcement during postoperative counselling after diagnostic laparoscopy for pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology 2004;112(1):89-94.
Pearce 1986 {published data only}
  • Pearce S, Beard RW, Botwood V, Greenwood H, Knight C, Reginald PW. A randomised controlled trial of psychological methods in the management of chronic pelvic pain in women. Abstracts of the 24th British Congress of Obstetrics and Gynaecology. Royal College of Obstetrics and Gynaecology 1986;1:88.
Reginald 1987 {published data only}
  • Reginald PW, Beard RW, Kooner JS, Mathias CJ, Samarage SU, Sutherland IA, et al. Intravenous dihydroergotamine to relieve pelvic congestion with pain in young women. Lancet 1987;ii:351-3.
Simsek 2007 {published data only}
  • Simsek M, Burak F, Taskin O. Effects of micronized purified flavonoid fraction (Daflon) on pelvic pain in women with laparoscopically diagnosed pelvic congestion syndrome: a randomized crossover trial. Clinical & Experimental Obstetrics & Gynecology 2007;34(2):96-8.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Horne 2012 {published data only}
  • Horne AW, Critchley HOD, Doust A, Fehr D, Wilson J, Wu O, et al. GaPP: a pilot randomised controlled trial of the efficacy of action of gabapentin for the management of chronic pelvic pain in women: study protocol. BMJ Open 2012; Vol. 2, issue 3.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Baker 1993
Cheong 2006
Cheong 2007
  • Cheong Y, Stones RW. Doctors and the chronic pelvic pain patient. Minerva Ginecology 2007;59(6):613-8.
Daniels 2009
  • Daniels J, Gray R, Hills RK, Latthe P, Buckley L, Gupta J, et al. Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain: a randomized controlled trial. Journal of the American Medical Association 2009;302(9):955-61.
Daniels 2010
Duleba 1996
  • Duleba A, Keltz M, Olive D. Evaluation and management of chronic pelvic pain. Journal of the American Association of Gynecologic Laparoscopists 1996;3:205-27.
Dworkin 2005
Dworkin 2010
  • Dworkin RH, Turk DC, Peirce-Sandner S, Baron R, Bellamy N, Burke LB, et al. Research design considerations for confirmatory chronic pain clinical trials: IMMPACT recommendations. Pain 2010;149:177-93.
Garrat 1995
Gelbaya 2001
Gupta 2006
Haugstad 2007
  • Haugstad GK, Haugstad TS, Kirste U, Leganger S, Hammel B, Klemmetsen I, et al. Reliability and validity of a standardized Mensendieck physiotherapy test (SMT). Physiotherapy Theory & Practice 2006;22(4):189-205.
Hawk 2002
  • Hawk C, Long C, Reiter R, Davis C, Cambron J, Evans R. Issues in planning a placebo-controlled trial of manual methods: results of a pilot study. Journal of Alternative and Complementary Medicine 2002;8(1):21-32.
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. www.cochrane-handbook.org.
Horne 2012
  • Horne AW, Skubisz MM, Doust A, Duncan WC, Wallace E, Critchley HO, et al. Phase II single arm open label multicentre clinical trial to evaluate the efficacy and side effects of a combination of gefitinib and methotrexate to treat tubal ectopic pregnancies (GEM II): study protocol. BMJ Open 2013;3(7):e002902. [DOI: 10.1136/bmjopen-2013-002902]
Howard 1993
  • Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstetrical & Gynecological Survey 1993;48:357-87.
Langford 2007
Latthe 2006
  • Latthe P, Latthe M, Say L, Gulmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health 2006;6:177.
Loeser 1980
  • Loeser JD. The definition of pain. Medicine 1980;7:3-9.
Mathias 1996
Prendergast 2003
RevMan 2012 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2012.
Thompson 2005
Williams 2012
Zigmond 1983
Zondervan 1999