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Noncyclic Chronic Pelvic Pain Therapies for Women

Slide: 19 of 24

Comparative Effectiveness of Surgical Interventions for Noncyclic CPP: Functional Outcomes

There was insufficient evidence to determine if hysterectomy was more effective than non-surgical therapy in improving functional status. A poor-quality cohort study, the Maine Women’s Health Study, reported on 12-month outcomes for 50 patients with CPP who were enrolled in a non-surgical group and were compared with 68 patients with CPP who were undergoing hysterectomy. Functional status, assessed with a validated Activity Index questionnaire, improved in both groups when compared with baseline after 12 months of treatment (both p < 0.001), but a comparison between the two study arms was not performed.