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Voiding symptoms in chronic pelvic pain (CPP).

Purana van Os-Bossagh1, Trudy Pols, Wim C J Hop

  • 1Department of Obstetrics and Gynecology, University Hospital Dijkzigt/Erasmus University Rotterdam, The Netherlands. purana.bossagh@gak.nl

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|March 22, 2003
PubMed
Summary

Chronic pelvic pain (CPP) significantly impacts women, with many experiencing frequent voiding symptoms like incontinence and urgency. These urinary issues are more prevalent in CPP patients compared to controls.

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Area of Science:

  • Urology
  • Gynecology
  • Women's Health

Background:

  • Chronic pelvic pain (CPP) is a complex condition affecting numerous women.
  • Voiding dysfunction is a frequently reported but understudied symptom in CPP patients.

Purpose of the Study:

  • To determine the prevalence of various voiding symptoms in women diagnosed with chronic pelvic pain.
  • To compare the occurrence of urinary symptoms between CPP patients and a control group.

Main Methods:

  • A questionnaire was administered to 60 women with CPP (aged 23-79) and 31 controls (aged 18-77).
  • Symptoms were considered present and serious if occurring often, almost always, or always for over six months.
  • Data collected focused on lower abdominal pain and specific voiding difficulties.

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Main Results:

  • 63% of CPP patients reported two or more voiding symptoms.
  • Prevalent symptoms included incontinence (43%), poor urethral sphincter control (50%), and inability to postpone urination (37%).
  • Urinary symptoms were significantly more common in the CPP group than in controls.

Conclusions:

  • A significant portion of women with chronic pelvic pain experience bothersome voiding symptoms.
  • Addressing urinary dysfunction is crucial for comprehensive CPP management.