[Leiomyomatosis and chronic pelvic pain]
M Lukanova1, I Popov, I Khristova
1Department of Obstetrics and Gynaecology, Medical University, Pleven.
Unlabelled:
Leiomyomatosis is one of the major gynaecological diseases, which cause the onset of chronic pelvic pain /CPP/.
Purpose Of The Study:
To build up a pain profile of patients with leiomyoma by the use of quantitative and qualitative characteristics.
Methods And Materials:
The study was conducted through the period of 01.01.2004-01.07.2004 in the Clinic of Gynaecology of the Department of Obstetrics and Gynaecology, Medical University-Pleven. During that period 94 patients with leiomyomatosis were admitted in the clinic, and they filled in an inquiry form, containing also a pain calendar and pain map. Clinical and pathohistological data, verifying type, localization and clinical manifestation were used too.
Results And Discussion:
Forty-eight /51.1%/ of 94 patients with leiomyomatosis admitted in the clinic had been experiencing CPP. CPP had been the reason for diagnosing leiomyomas. A dependency was determined between quantitative value of CPP and: localization of leiomyomas, presence of another accompanying myoma gynaecological pathology, body mass index, histological changes, time of the onset of CPP, chronological appearance according to day and menstrual cycle. Pain qualitative characteristics were mainly defined by localization of leiomyomas, histological changes in them and eventually a presence of another accompanying myoma gynaecological pathology.
Conclusion:
Building up a specific for leiomyomatosis pain profile helps to provide a faster and more accurate diagnostic assessment and therapeutic management.
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