Purpose of Review

Chronic pelvic pain (CPP) is a complex condition that can be multifactorial, disabling, and difficult to treat. It is important to understand the various diagnoses and pathways that can be involved and have an understanding of the available treatment options.

Recent Findings

There is a complex innervation of the pelvic region which makes its treatment very challenging. There are pathophysiological similarities of CPP to disease states like complex regional pain syndrome and sympathetically driven pain.

Summary

CPP is poorly understood and includes psychological, psychosocial, cultural, and economic influences. Treatment options vary, but neuromodulation does remain a centerpiece and can include sacral stimulation, SCS, DRG stimulation, and PNS.

中文翻译：

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神经调节治疗骨盆疼痛

审查目的

慢性盆腔痛 (CPP) 是一种复杂的疾病，可能是多因素的、致残的且难以治疗。了解可能涉及的各种诊断和途径并了解可用的治疗方案非常重要。

最近的发现

骨盆区域有复杂的神经支配，这使得其治疗非常具有挑战性。CPP 与疾病状态有病理生理相似性，如复杂的局部疼痛综合征和交感神经驱动的疼痛。

概括

CPP 知之甚少，包括心理、社会心理、文化和经济影响。治疗方案各不相同，但神经调节仍然是核心，可以包括骶骨刺激、SCS、DRG 刺激和 PNS。