Modulation of pain and hyperalgesia from the urinary tract by algogenic conditions of the reproductive organs in women

This study investigated the impact of algogenic conditions of the reproduct ive organs upon urinary pain perception in women. A 5-year survey was condu cted among 69 fertile women with calculosis of one upper urinary tract via an ad-hoc questionnaire. At both retrospective (3 years) and prospective (2 years) investigation, dysmenorrheic women (D) reported more colics than no n-dysmenorrheic women (ND) (P < 0.001) and women with previous dysmenorrhea treated with estroprogestins (DH)(P < 0.05). Pain thresholds (electrical s timulation) of the oblique musculature ipsilateral to the stone (L1, site o f referred hyperalgesia from upper urinary tract) were lower in D than in N D (P < 0.01) and DH (P < 0.05). Calculosis women with asymptomatic endometr iosis / ovarian cysts also reported more colics (6-month prospective study) and greater threshold lowering(P < 0.05) than women with calculosis alone. The results show enhancement of urinary pain I hyperalgesia by both manife st and latent algogenic conditions of the female reproductive organs. This enhancement could derive from neuronal sensitization in spinal segments of common projection of the two Visceral districts (T10-L1). (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.