{"id":12718,"date":"2025-07-21T07:52:38","date_gmt":"2025-07-21T11:52:38","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/pelvic-pain\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"dor-pelvica","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/dor-pelvica\/","title":{"rendered":"Dor P\u00e9lvica"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[108,107],"class_list":["post-12718","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>A dor p\u00e9lvica \u00e9 um desconforto persistente, incapacitante ou intermitente que ocorre no baixo ventre ou na pelve, entre o umbigo e os quadris, e que pode ser agudo (s\u00fabito e intenso) ou cr\u00f4nico (com dura\u00e7\u00e3o de seis meses ou mais).<sup>1<\/sup> Essa condi\u00e7\u00e3o complexa pode afetar todos os sexos, embora seja relatada com mais frequ\u00eancia em mulheres, e pode ter origem em diversas fontes, incluindo \u00f3rg\u00e3os reprodutivos, trato urin\u00e1rio, sistema digest\u00f3rio, estruturas musculoesquel\u00e9ticas ou vias neurol\u00f3gicas.<sup>2<\/sup> A dor p\u00e9lvica cr\u00f4nica est\u00e1 frequentemente associada \u00e0 sensibiliza\u00e7\u00e3o central, em que o sistema nervoso se torna excessivamente sens\u00edvel aos est\u00edmulos dolorosos, levando \u00e0 hiperalgesia (aumento da sensibilidade \u00e0 dor) e \u00e0 alodinia (dor provocada por est\u00edmulos normalmente n\u00e3o dolorosos).<sup>3<\/sup> A condi\u00e7\u00e3o pode existir como um dist\u00farbio prim\u00e1rio ou ser secund\u00e1ria a patologias subjacentes, afetando significativamente a qualidade de vida por meio de limita\u00e7\u00f5es f\u00edsicas, sofrimento psicol\u00f3gico e consequ\u00eancias sociais.<sup>4<\/sup><\/p>","gt-synonyms":"S\u00edndrome da dor p\u00e9lvica cr\u00f4nica (SDPC), disfun\u00e7\u00e3o do assoalho p\u00e9lvico, dist\u00farbio da dor p\u00e9lvica cr\u00f4nica, dor p\u00e9lvica persistente, mialgia tensional do assoalho p\u00e9lvico, s\u00edndrome da dor p\u00e9lvica regional cr\u00f4nica, s\u00edndrome da dor p\u00e9lvica visceral","gt-citation":"[1] Coxon L, Vollert J, Perro D, et al. Comprehensive quantitative sensory testing shows altered sensory function in women with chronic pelvic pain: results from the Translational Research in Pelvic Pain (TRiPP) Study. Pain. 2023 Nov 1;164(11):2528-2539. DOI: 10.1097\/j.pain.0000000000002955\n\n[2] Till SR, As-Sanie S, Schrepf A. Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment. Clin Obstet Gynecol. 2019 Mar;62(1):22-36. DOI: 10.1097\/GRF.0000000000000412\n\n[3] Dydyk AM, Singh N, Gupta N. Chronic Pelvic Pain. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 May 2. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554585\/\n\n[4] Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996 Mar;87(3):321-7. DOI: 10.1016\/0029-7844(95)00458-0","gt-clinical-context":"<p>A dor p\u00e9lvica apresenta-se em diversos cen\u00e1rios cl\u00ednicos, exigindo avalia\u00e7\u00e3o abrangente para determinar as estrat\u00e9gias de manejo adequadas. Clinicamente, \u00e9 classificada como aguda (in\u00edcio s\u00fabito, muitas vezes exigindo aten\u00e7\u00e3o urgente) ou cr\u00f4nica (persistindo por seis meses ou mais).<sup>1<\/sup><\/p>\n    \n    <p>A sele\u00e7\u00e3o de pacientes para avalia\u00e7\u00e3o normalmente inclui indiv\u00edduos que relatam desconforto persistente no baixo ventre ou na pelve que afeta o funcionamento di\u00e1rio. A abordagem diagn\u00f3stica envolve anamnese e exame f\u00edsico minuciosos, incluindo toque retal e avalia\u00e7\u00e3o de alodinia cut\u00e2nea.<sup>3<\/sup> Exames de imagem e laboratoriais podem ajudar a identificar comorbidades contribuintes, embora frequentemente sejam inconclusivos.<sup>3<\/sup><\/p>\n    \n    <p>As comorbidades comuns que exigem considera\u00e7\u00e3o cl\u00ednica incluem endometriose, s\u00edndrome do intestino irrit\u00e1vel (SII), cistite intersticial, doen\u00e7a inflamat\u00f3ria p\u00e9lvica, dist\u00farbios musculoesquel\u00e9ticos (incluindo disfun\u00e7\u00e3o do assoalho p\u00e9lvico) e fatores psicol\u00f3gicos, como depress\u00e3o, ansiedade e transtorno de estresse p\u00f3s-traum\u00e1tico.<sup>2<\/sup> A sobreposi\u00e7\u00e3o significativa com condi\u00e7\u00f5es psicol\u00f3gicas exige uma abordagem biopsicossocial na avalia\u00e7\u00e3o e no tratamento.<sup>2<\/sup><\/p>\n    \n    <p>O manejo concentra-se no al\u00edvio dos sintomas e na abordagem dos fatores f\u00edsicos e psicol\u00f3gicos contribuintes. Os tratamentos de primeira linha frequentemente incluem anti-inflamat\u00f3rios n\u00e3o esteroidais (AINEs) ou paracetamol, sendo as terapias hormonais ben\u00e9ficas para a dor c\u00edclica.<sup>3<\/sup> A dor neurop\u00e1tica pode responder a antidepressivos ou anticonvulsivantes, enquanto terapias adjuvantes, como terapia cognitivo-comportamental, fisioterapia do assoalho p\u00e9lvico e t\u00e9cnicas de mindfulness, mostraram efic\u00e1cia.<sup>3<\/sup> Para casos refrat\u00e1rios, podem ser considerados procedimentos intervencionistas ou cirurgia, embora os resultados variem amplamente conforme a causa subjacente e a resposta individual ao tratamento.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":94},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Dor P\u00e9lvica Cr\u00f4nica: Avalia\u00e7\u00e3o e Tratamento | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda a dor p\u00e9lvica cr\u00f4nica na urologia: causas prost\u00e1ticas, vesicais e musculoesquel\u00e9ticas. 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