TY - JOUR
TI - Chronic perineal pain: current pathophysiological aspects, diagnostic
approaches and treatment
AU - Andromanakos, Nikolaos P.
AU - Kouraklis, Grigorios
AU - Alkiviadis,
AU - Kostakis
JO - European Journal of Gastroenterology and Hepatology
PY - 2011
VL - 23
TODO - 1
SP - 2-7
PB - Lippincott, Williams & Wilkins
SN - 0954-691X, 1473-5687
TODO - 10.1097/MEG.0b013e32834164f6
TODO - coccygodynia; levator ani syndrome; myofascial syndrome; perineal pain;
proctalgia fugax; rectal pain
TODO - Chronic perineal pain is the anorectal and perineal pain without
underlying organic disease, anorectal or endopelvic, which has been
excluded by careful physical examination, radiological and endoscopic
investigations. A variety of neuromuscular disorders of the pelvic floor
lead to the different pathological conditions such as anorectal
incontinence, urinary incontinence and constipation of obstructed
defecation, sexual dysfunction and pain syndromes. The most common
functional disorders of the pelvic floor muscles, accompanied by
perineal pain are levator ani syndrome, proctalgia fugax, myofascial
syndrome and coccygodynia. In the diagnosis of these syndromes,
contributing to a thorough history, physical examination, selected
specialized investigations and the exclusion of organic disease with
proctalgia is carried out. Accurate diagnosis of the syndromes helps in
choosing an appropriate treatment and in avoiding unnecessary and
ineffective surgical procedures, which often are performed in an attempt
to alleviate the patient’s symptoms. Eur J Gastroenterol Hepatol 23:2-7
(C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams &
Wilkins.
ER -