Ozgür Enver, Dagtekin Oguzhan
Klinik und Poliklinik für Urologie und Operative Intensivmedizin, Universitätsklinikum Köln, Köln, Germany.
Wien Med Wochenschr. 2009;159(21-22):543-7. doi: 10.1007/s10354-009-0721-5.
Undertreatment of all forms of acute and chronic pain is also present in Germany. Chronic inguinal pain and post vasectomy pain are frequently observed in urological practice and appear as chronic postsurgical pain. Chronic pelvic pain has inflammatory causes in the majority of cases and appears as a challenge for the treating physician. Pain should be treated as early as possible, if necessary also interdisciplinary, with regard to the further chronification process with changes of biological, psychological and social factors. For the patient the pain chronification can be accompanied by the reduction of quality of life and social isolation.
德国也存在各种急慢性疼痛治疗不足的情况。慢性腹股沟疼痛和输精管切除术后疼痛在泌尿外科临床实践中经常出现,并表现为慢性术后疼痛。大多数情况下,慢性盆腔疼痛有炎症原因,这对治疗医生来说是一个挑战。应尽早治疗疼痛,如有必要,还应进行多学科治疗,同时考虑到生物、心理和社会因素变化导致的进一步慢性化过程。对患者而言,疼痛慢性化可能伴随着生活质量下降和社会孤立。