Chronic pelvic pain: A different perspective

Peter Papa Petros

Research output: Chapter in Book/Conference paperChapterpeer-review


A different perspective of chronic lower abdominal pelvic pain, collision dyspareunia, and vulvodynia related to laxity in the uterosacral ligaments is presented. The syndrome presented is quite characteristic: low abdominal 'dragging' pain, usually unilateral, often right-sided, low sacral pain, deep dyspareunia, and postcoital ache, tiredness, and irritability. The pain has been demonstrated to be a referred pain. Injection of local anesthesia in the posterior vaginal fornix causes the pain to disappear temporarily. An initial cure rate of up to 80% has been reported following tensioning and reinforcement of the uterosacral ligaments, most recently with the tissue fixation system (TFS).

Original languageEnglish
Title of host publicationPelvic Floor Disorders
Subtitle of host publicationImaging and Multidisciplinary Approach to Management
PublisherSpringer Milan
Number of pages5
ISBN (Print)9788847015418
Publication statusPublished - 2010


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