Pelvic mapping to explore patterns of chronic pelvic pain
Kelli Aibel1, Sharon Choi2, Robert Moldwin2
1The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Neurourology and Urodynamics
|February 25, 2023
Summary
Chronic pelvic pain syndromes (CPPS) show distinct pain patterns on body maps, aiding in diagnosis. More pain locations marked correlate with worse clinical features in CPPS patients.
Area of Science:
- Urology
- Pain Medicine
- Medical Diagnostics
Background:
- Chronic pelvic pain syndromes (CPPS) present significant diagnostic and therapeutic challenges.
- Pelvic pain body maps can aid in phenotyping heterogeneous CPPS patient populations.
- Understanding pain distribution is crucial for managing CPPS.
Purpose of the Study:
- To assess if distinct pain patterns exist on pelvic body maps for common CPPS diagnoses.
- To investigate the association between the number of pain locations and clinical indices in CPPS patients.
Main Methods:
- Collected data from 295 CPPS patients (170 female, 125 male) at a Pelvic Pain Treatment Center.
- Utilized pelvic pain maps, Genitourinary Pain Index (GUPI), and Pain Catastrophizing Scale (PCS-6).
- Analyzed demographic data, pain mapping patterns, and clinical indices using descriptive statistics and correlations.
Main Results:
- Notable overlap in pain mapping patterns between interstitial cystitis/bladder pain syndrome (IC/BPS) and pelvic floor myalgia (PFM).
- Distinct pain patterns observed in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and vulvodynia.
- Increased number of marked pain locations correlated with higher GUPI and PCS scores (p<0.05).
Conclusions:
- Pelvic body mapping reveals varied pain distributions across CPPS diagnoses, though not predictive of specific groups.
- Body maps are valuable for identifying precise pain locations and areas difficult to communicate verbally.
- The total number of marked pain sites correlates with more severe clinical features in CPPS.
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