Chronic pelvic pain: anatomical and neurological aspects (literature review)

Chronic pelvic pain (CPP) is an actual problem for various specialties, including neurosurgeons. One of the main difficulties in the diagnosis and treatment of this pain syndrome is the absence of an anatomical substrate of pain in about half of patients suffering from CPP. That is why such patients undergo multiple diagnostic manipulations that not only do not reveal any pathology, but also increase the intensity and prevalence of existing pain. In this way it is extremely important to establish the nature of pain initially when examining these patients. The presented literature review summarizes the features of clinical manifestations of the neurogenic type of CPP, taking into account the anatomy and innervation of nerve structures which mostly cause this type of CPP.

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