Long-term Management of Patients Surgically Treated for Chronic Pelvic Pain by Minimally Invasive Surgery

Study Overview
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Brief Summary
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It is a retrospective observational study based on the analysis of the medical records of patients treated for chronic pelvic pain and benign gynecological pathologies at the Gynecology Unit of the University Hospital of Modena from 2010 to 2019. The aim of the study is to analyze the effects of medical and surgical treatments on chronic pelvic pain and associated pathologies.

Official Title
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Long-term Management of Patients With Benign Gynecological Pathology and Chronic Pelvic Pain and Follow-up After Minimally Invasive Surgery

Conditions
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Pelvic Pain

Intervention / Treatment
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* Procedure: Minimally Invasive Gynecologic Surgery
* Procedure: osteopathic manipulative treatment
* Drug: Pain killer


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Underwent Minimally invasive gynecologic surgery from 2010 to 2019 Chronic pelvic pain Benign gynecologic disease (Endometriosis, myoma, adenomyosis, pelvic organ prolapse Exclusion Criteria: malignant gynecologic disease chronic pelvic pain not linked to gynecologic disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with chronic pelvic pain<br>Patients with chronic pelvic pain and a benign gynecologic disease associated, referring to our Unit, medically or surgically treated from 2010 to 2019 | Procedure: Minimally Invasive Gynecologic Surgery<br>* Minimally Invasive Surgery for gynecologic disease (laparoscopy, robotic surgery, vaginal surgery)<br>Procedure: osteopathic manipulative treatment<br>* Osteopathic manipulative treatment<br>Drug: Pain killer<br>* Common pain killer (paracetamol, Ibuprofen, ketoprofen)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline in Pain Scores on the Numeric Rating Scale at 6 months after surgery | Change From Baseline in Pain Scores on the Numeric Rating Scale at 6 months after surgery | Baseline and 6 months after surgery | 
| Change From Baseline in Pain Scores on the Numeric Rating Scale at 6 months after Osteopathic manipulative treatment | Change From Baseline in Pain Scores on the Numeric Rating Scale at 6 months after Osteopathic manipulative treatment | Baseline and 6 months after Osteopathic manipulative treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline in constipation on the constipation score system (CSS) by Agachan-Wexner at 6 months after surgery | Change From Baseline in constipation on the constipation score system (CSS) by Agachan-Wexner at 6 months after surgery | Baseline and 6 months after surgery | 
| Analysis of postoperative complications using Clavien-Dindo classification | Analysis of postoperative (1 month after surgery) complications using Clavien-Dindo classification | 1 month after surgery | 
| Incidence of endometriosis among patients with chronic pelvic pain | Incidence of endometriosis among patients with chronic pelvic pain | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pelvic Pain, Endometriosis, Minimally invasive Surgery