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The ‘evil twin syndrome’ in chronic pelvic pain: A systematic review of prevalence studies of bladder pain syndrome and endometriosis
- Source :
- International Journal of Surgery. 11:233-237
- Publication Year :
- 2013
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2013.
-
Abstract
- Background Chronic pelvic pain (CPP), a common gynaecological presentation, may be due to bladder pain syndrome (BPS) or the co-existence of BPS and endometriosis, known as the ‘evil twins syndrome'. Objectives To estimate the prevalence of BPS and the co-existence of BPS and endometriosis in women with CPP. Data sources We searched until March 2012: The Cochrane Library, DARE (1997–2012), EMBASE (1980–2012), Medline (1950–2012), PSYCHINFO (1806–2012), Web of knowledge (1900–2012), LILACS (1982–2012) and SIGLE (1990–2012) with no language restrictions. We manually searched through bibliographies and conference proceedings of the International Continence Society. Study selection Observational studies of women suffering from CPP, who were not pregnant or suffering from cancer, who underwent a laparoscopy and cystoscopy to investigate their symptoms. Study selection, data extraction and quality assessment was performed independently by two reviewers. Statistical analysis was performed to estimate prevalence and confidence intervals (CI). Results Nine studies were included with 1016 patients with CPP. Study quality and diagnostic assessment varied. The mean prevalence of BPS was 61% (range 11–97%, CI 58–64%, I 2 = 98%). The mean prevalence of endometriosis was 70% (range 28–93%, CI 67–73%, I 2 = 93%) and co-existing BPS and endometriosis was 48% (range 16–78%, CI 44–51%, I 2 = 96%). Conclusion Almost two thirds of women presenting with CPP have BPS. Large variations in prevalence may be due to variable study selection and quality. Clinicians need to actively investigate patients for BPS, a condition that appears to co-exist with endometriosis.
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
Cystitis, Interstitial
Endometriosis
Cochrane Library
Pelvic Pain
urologic and male genital diseases
Interstitial cystitis
Internal medicine
Prevalence
medicine
Humans
Laparoscopy
Gynecology
medicine.diagnostic_test
business.industry
Pelvic pain
Chronic pain
Painful bladder syndrome
Syndrome
General Medicine
Cystoscopy
Middle Aged
medicine.disease
Confidence interval
Female
Surgery
Bladder pain syndrome
Chronic Pain
medicine.symptom
business
Chronic pelvic pain
Subjects
Details
- ISSN :
- 17439191
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery
- Accession number :
- edsair.doi.dedup.....db2595a6cf24ee74cf95ae70fb89370a