John F. Steege

In Brief As opposed to the satisfying solutions found in the management of acute pain, chronic pelvic pain can be a vexing problem for the patient and physician. Seldom is a single source or cause found, and nearly always the condition is i…

STUDY OBJECTIVE: To compare nerve fiber density in the cervices removed by trachelectomy from women with pelvic pain with those cervices removed for nonpain indications. DESIGN: Retrospective cohort study (Canadian Task Force classificatio…

Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts Financial Disclosure T…

When appropriately performed, hysterectomy most often contributes substantially to quality of life. Postoperative morbidity is minimal, in particular after minimally invasive surgery. In a minority of women, pain during intercourse is one o…

OBJECTIVE: To examine the short-term effects of salpingectomy during laparoscopic hysterectomy on ovarian reserve when ovarian preservation is planned in view of determining the feasibility of conducting the study on a larger scale. DESIGN…

STUDY OBJECTIVE: To estimate the effect of body mass index (BMI) on several outcomes in laparoscopic hysterectomy, in particular in the extremes of obesity. DESIGN: Retrospective cohort study (Canadian Task Force classification II-3). SET…

Conscious laparoscopic pain mapping, a technique that has been described in the literature for more than a decade, can be a particularly helpful tool to assist with pelvic pain diagnosis and treatment decisions. Several factors, when optimi…

OBJECTIVE: This study was performed to examine whether bilateral oophorectomy is related to depressive symptoms. STUDY DESIGN: A secondary analysis of data collected from a cohort study of 1047 premenopausal women undergoing hysterectomy w…

Although depressive symptoms have been related to levels of reproductive hormones, especially in the perimeno-pausal period, the effects on such symptoms of surgical menopause, induced by bilateral oophorectomy, are uncertain. Many women ha…

OBJECTIVE: Our primary aim was to identify subtypes of chronic pelvic pain and to compare the cases of women with the identified subtypes on health status and trauma history. We hypothesized that women with diffuse abdominal/pelvic pain wou…

Chronic pelvic pain (CPP) has been traditionally defined by the duration of symptoms (usually 6 months or more). Among the elements that may contribute to CPP are (1) untreated or insufficiently treated organic disease; (2) physiologic resp…

OBJECTIVE: The purpose of this study was to describe long-term outcomes for women with chronic pelvic pain (CPP) after evaluation in a CPP specialty clinic. STUDY DESIGN: This was a prospective observational cohort study of women treated f…

OBJECTIVE: To determine the prevalence of 2 musculoskeletal pain disorders among women presenting to a referral chronic pelvic pain clinic. STUDY DESIGN: This was a retrospective, cross-sectional study of 987 women (aged 14-79) presenting …

Many variables determine the appropriate timing of diagnostic laparoscopy for suspected endometriosis. When initial treatments fail to relieve pain attributed to endometriosis, more detailed assessment is often indicated rather than escalat…

OBJECTIVE: We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain. STUDY DESIGN: We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was…