RESUMO
The mechanisms underlying pain in cases of endometriosis or chronic pelvic pain are complex, often involving various types of pain; mainly nociceptive pain, central sensitization, and neuropathic pain. Our main objective was to examine the prevalence of neuropathic pain in women with symptomatic endometriosis, and secondary, to explore the factors associated with this type of pain and to assess the prevalence of a positive PPSC score and a history of sexual violence within this population. This study is a retrospective, comparative, single-center cohort study conducted from September 2019 to January 2023. The presence of neuropathic pain was confirmed by a positive DN4 score, defined as greater than or equal to 4. The association with the following variables was studied: age, BMI, marital status, smoking, alcohol and drugs consumption, age at menarche, gestity, parity, duration of exposure to endometriosis, MRI locations, laparoscopy for endometriosis and post-laparoscopy r-ASRM classification, hormone treatment, associated symptoms, VAS, associated pathologies, infertility consultation, Pain Center consultation, EPH-5 score, positive PPSC score (≥5), and history of sexual violence. The prevalence of neuropathic pain was 44.1%. Younger age, being in a relationship, having a high EPH-5 score and undergoing laparoscopy for endometriosis are associated with neuropathic pain independently of other variables. Our study underscores the persistent high prevalence of neuropathic pain in endometriosis cases, emphasizing the importance of actively screening for it. Identifying neuropathic pain could prompt referrals to pain specialists, integrating it into a comprehensive multidisciplinary approach.
RESUMO
INTRODUCTION: Although urologists play an essential role in informing patients, with the ever-increasing use of modern media, a wealth of information sources is now available. The aim of this study was to identify the different sources of information available to urology patients, assess the scale of use of the internet and social networks in this group, and establish the profile of patients for whom a high level of information is crucial. MATERIALS: A questionnaire was given to 500 patients consulting the urology department of a university hospital. RESULTS: Out of the 500 questionnaires, 372 were analysable; the average age of respondents was 62.9years; 73% were men; 66.9% said they used the internet; 57% had received an explanatory document such as an French Urology Association information leaflet, 32.5% had received information from the paramedical team, 28.2% from their regular doctor, 28.2% from health-related websites and 5.9% from the website developed by the French Urology Association. Although 80.3% of patients thought that information received from the urologist was satisfactory, 53.2% of patients would like to receive more information. We did not identify any factors allowing us to determine the typical profile of patients seeking more information. CONCLUSION: Urologists seem to retain their central role in informing patients, but almost half of patients were still seeking additional information after their urology consultation. The increasing use of the internet should encourage urologists to use these new media resources to optimise the information supplied to patients.