Urogenital Pain
Michael Sabia Jasjit Sehdev William Bentley Editors Urogenital Pain A Clinicians Guide to Diagnosis and Interventional Treatments
Editors Michael Sabia Department of Anesthesiology Cooper Medical School of Rowan University William Bentley Center for Advanced Pain Management Hunterdon Medical Center Flemington, NY, USA Jasjit Sehdev Department of Anesthesiology Cooper Medical School of Rowan University ISBN 978-3-319-45792-5 DOI 10.1007/978-3-319-45794-9 ISBN 978-3-319-45794-9 (ebook) Library of Congress Control Number: 2016963754 Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To my wife: Jenny, you are a beautiful person both inside and out. More people like you would make the world a better place to live. Thank you for always believing in me and bringing out the best of me. I love you. To Sebastian and Milana: Your smiles brighten up the darkest days. You re the greatest children any parent could ask for. I love you both very much. Michael Sabia, MD To my parents: Thank you for all your love and support. You ve always been there for me no matter what. To my siblings: For always teaching and humbling me along the way. To my pyaar: The love that we share grows stronger and stronger each day. You are truly a blessing in my life. Jasjit Sehdev, MD Thank you to the beautiful women in my life who are constantly pushing me and challenging me to greatness. Melissa, I cannot imagine my life or future without you.
Lacie, I never knew what love truly was until the day you were born. Taryn, I can t wait to meet you. William Bentley, DO
Preface Suffering from pain is undoubtedly one of the most unfortunate experiences any human can endure. Identifying areas where gaps in knowledge and treatment exist is one way we can help overcome this ill-fated circumstance (pain). The work put into this book is superseded by the extraordinary benefits the editors and authors are able to provide to those who gain understanding of urogenital pain and are able to offer treatment options in which they were previously unaware of. We are honored to offer such capability by incorporating an amalgamation of an amazing group of authors in this text. Gaining in-depth perspective is better achieved by uniting a multidisciplinary task force as opposed to an expert. This is the backbone of why such an amazing group of individuals were able to provide insight into a piece of medicine that currently has limited familiarity. We are here to make the world a better place. Thanks to the exceptional list of authors in this text, this has come to fruition. A special thank you to Springer and their publishing team for their expertise and guidance on how to execute this arduous task. Flemington, NJ, USA Michael Sabia Jasjit Sehdev William Bentley vii
Contents 1 Pelvic Floor Anatomy and Neurovasculature Related to Urogenital Pain.......................................... 1 Ian James Brown 2 Ilioinguinal and Genitofemoral Neuralgia...................... 25 Fatimah Habib 3 Myofascial Pelvic Pain...................................... 43 Henry C. Chou, Robert Kelly, and David Huaguang Qu 4 Sacroiliac Joint Complex Pain................................ 57 Hieu Hoang 5 Piriformis Syndrome and Pudendal Neuralgia.................. 77 Taral Patel and Michael Sabia 6 Lumbar and Sacral Radiculitis............................... 91 Natalie Trautman and Michael Sabia 7 Scrotal Pain............................................... 105 Aaron E. Ovadia, Hailiu Yang, Craig S. Niederberger, Christina Ho, Michael Sabia, and Allen D. Seftel 8 Chronic Pelvic Pain of Urogynecologic Origin................... 119 Karolynn Echols, Tamara Toidze, and Gunda Simpkins 9 Rehabilitation of the Pelvis and Pelvic Floor.................... 143 Ryan R. Ramsook, Devi E. Nampiaparampil, and Mila Mogilevksy 10 Cancer Pain in the Urogenital Region.......................... 157 Samuel Hardy, Mark Angelo, Krista Haas, Huda Sayed, and Vincent J. Vanston 11 Spinal Cord Stimulation for Chronic Pelvic Pain................ 177 William E. Bentley ix
x Contents 12 Intrathecal Drug Delivery Systems............................ 187 Jasjit Sehdev 13 Psychiatric Aspects in Chronic Pain and Utility of Yoga and Mindfulness-Based Cognitive Behavioral Therapy for Pain (Y-MBCT Pain) as a Translational Model...................... 207 Basant Pradhan 14 Complementary and Alternative Medicine..................... 237 Robert G. Gessman Index.......................................................... 271
Contributors Mark Angelo Cooper University Hospital, Department of Medicine, Division of Palliative Care, William Bentley Hunterdon Medical Center, Center for Advanced Pain Management, Flemington, NJ, USA Ian James Brown Cooper Medical School of Rowan University, Camden, NJ, USA Henry C. Chou Thomas Jefferson University Hospital, Department of Rehabilitation Medicine, Philadelphia, PA, USA Karolynn Echols Thomas Jefferson University, Department of Obstetrics and Gynecology, Philadelphia, PA, USA Robert G. Gessman Cooper University Hospital, Department of Anesthesiology, Krista Haas Cooper University Hospital, Department of Medicine, Division of Palliative Care, Fatimah Habib St. Francis Hospital, Premier Anesthesia, Wilmington, DE, USA Samuel Hardy Cooper University Hospital, Department of Medicine, Division of Palliative Care, Christina Ho Cooper University Hospital, Department of Surgery, Division of Urology, Hieu Hoang Wilmington VA Medical Center, Department of Medicine, Wilmington, DE, USA Robert Kelly Highpoint Pain & Rehabilitation Physicians P.C., Chalfont, PA, USA xi
xii Contributors Mila Mogilevksy Kingsbrook Jewish Medical Center, Department of Physical Medicine and Rehabilitation, New York Methodist Hospital, Brooklyn, NY, USA Devi E. Nampiaparampil NYU School of Medicine, Department of Rehabilitation, New York, NY, USA Craig S. Niederberger University of Illinois Medical Center at Chicago, Department of Urology, Chicago, IL, USA Aaron E. Ovadia University of Illinois Medical Center at Chicago, Department of Urology, Chicago, IL, USA Taral Patel Cooper University Hospital, Department of Anesthesiology, Camden, NJ, USA Basant Pradhan Cooper University Hospital, Department of Psychiatry, Camden, NJ, USA David Huaguang Qu Highpoint Pain & Rehabilitation Physicians P.C., Chalfont, PA, USA Ryan R. Ramsook Icahn School of Medicine at Mount Sinai, Department of Rehabilitation Medicine, New York, NY, USA Michael Sabia Cooper University Hospital, Department of Anesthesiology, Division of Pain Management, Huda Sayed Cooper University Hospital, Department of Medicine, Division of Palliative Care, Allen D. Seftel Cooper University Hospital, Department of Surgery, Division of Urology, Jasjit Sehdev Cooper University Hospital, Department of Anesthesiology, Division of Pain Management, Gunda Simpkins Cooper Medical School of Rowan University, Camden, NJ, USA Tamara Toidze AtlantiCare Physician Group, AtlantiCare Regional Medical Center, Department of Obstetrics and Gynecology, Atlantic, NJ, USA Natalie Trautman Cooper University Hospital, Department of Anesthesiology, Vincent J. Vanston Cooper University Hospital, Department of Medicine, Division of Palliative Care, Hailiu Yang Cooper University Hospital, Department of Surgery, Division of Urology,