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Cancer
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
Symptoms of bladder cancer include painless hematuria, frequent urination, burning, dysuria and sometimes, pyuria. Irritation from the tumor may mimic cystitis. The patient may also have anemia. With advanced carcinoma, pelvic pain develops after a pelvic mass becomes palpable.
Fibroids: Location is (Almost) Everything
Published in John C. Petrozza, Uterine Fibroids, 2020
Emily A. Seidler, Louise P. King
Fibroids in submucosal and intramural locations can cause heavy menstrual bleeding, which can be significant enough to lead to profound anemia. Treatment should be offered even if the patient reports bleeding that is merely bothersome to her despite no objective findings of anemia. As with pelvic pain and bulk symptoms, the type of treatment offered should be guided by fertility desires.
Practice exam 4: Answers
Published in Euan Kevelighan, Jeremy Gasson, Makiya Ashraf, Get Through MRCOG Part 2: Short Answer Questions, 2020
Euan Kevelighan, Jeremy Gasson, Makiya Ashraf
Consider postoperative complications.Consider other causes of pelvic pain.
Short and long-term effectiveness of external shock wave therapy for chronic pelvic pain syndrome in men
Published in Arab Journal of Urology, 2023
Kareim Khalafalla, Ahmed Albakr, Walid El Ansari, Ahmad Majzoub, Haitham Elbardisi, Khalid AlRumaihi, Mohamed Arafa
Men attending the chronic pelvic pain clinic for the first time are thoroughly evaluated with history and physical examination. Different aspects of chronic pelvic pain are assessed and characterized including pain location, description and triggering factors. In addition, pain-related psychosocial symptoms, e.g. stress, anxiety, and depression are appraised. For lower urinary tract symptoms (LUTS) evaluation and bladder and prostate assessment, expressed prostatic secretions and midstream urine samples are cultured. When needed, flexible cystoscopy is performed to exclude anatomical and pathological abnormalities. Depending on the findings, patients are offered pharmacological and/or non-pharmacological therapies, including alpha blockers, antibiotics, antidepressants, anticholinergics, neuroleptics, phytotherapy, physical therapy, mental health therapy and ESWT.
Patients’ Perspectives on Clinical Responses to Primary Dysmenorrhea: A Qualitative Analysis of Online Narratives
Published in Women's Reproductive Health, 2023
Juhi Varshney, Katrina Kimport
Primary dysmenorrhea (PD) is defined as “painful menstruation in the absence of pelvic pathology” (Iacovides et al., 2015, p. 762). Studies show that dysmenorrhea is prevalent among women of reproductive age, with adverse experiences such as physical pain, emotional exhaustion, and restriction of daily activities (Chantler et al., 2009; Tutty et al., 2021). Reviews of existing literature show that the prevalence of PD may be as high as 91%, though an accurate estimate is difficult to obtain (Ju et al., 2014; Righarts et al., 2018). Dysmenorrhea is the leading cause of gynecological morbidity across all demographics, and the World Health Organization found it to be the most common cause of chronic pelvic pain (Harlow & Campbell, 2004; Latthe et al., 2006). Despite the toll that PD takes on a large portion of the population, many accept it as a normal part of menstruation and few women seek medical care for it (Chen et al., 2018; Garside et al., 2008; Santer et al., 2007; Wong et al., 2009).
Comprehensive overview of the venous disorder known as pelvic congestion syndrome
Published in Annals of Medicine, 2022
Kamil Bałabuszek, Michał Toborek, Radosław Pietura
Pelvic Venous Disorders manifests in many clinical presentations. Pelvic Congestion Syndrome is a common condition occurring worldwide, in which a significant proportion of cases remain undiagnosed and symptoms reported by women are often underestimated, due to poor knowledge of the condition. It is an important cause of chronic pelvic pain in female patients. It can also present with superficial varicose veins as the only symptom as well as in combination with pain. Symptoms can be non-specific and difficult to distinguish from other diseases. Certain diagnosis of the PCS is very challenging, due to its multiformity. Determining which patients suffer from symptoms associated with PCS is hard, but also extremely important to implement appropriate and targeted treatment. Future randomised trials on embolisation management are needed. A common treatment algorithm for trials based on an understanding of the mechanisms leading to symptoms would be particularly helpful in objectively evaluating outcomes.