Abstract
Chronic anorectal pain is a syndrome made up of a complex interaction between neurological, musculoskeletal, and endocrine systems that is further affected by behavioral and psychological factors [1]. The ambiguity of the pathophysiology related to this pain has created several synonyms, but chronic idiopathic perineal pain is an umbrella term used to describe the subgroups of patients who present with chronic anorectal pain [2, 3].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ger GC, Wexner SD, Jorge JM et al (1993) Evaluation and treatment of chronic intractable rectal pain — a frustrating endeavour. Dis Colon Rectum 36:139–145
Gunter J (2003) Chronic pelvic pain: an integrated approach to diagnosis and treatment. Obstet Gynecol Surv 58:615–623
Andromanakas NP, Kouraklis G, Alkiviadis K (2011) Chronic perineal pain: current pathophysiological aspects, diagnostic approaches and treatment. Eur J Gastroenterol Hepatol 23:2–7
Thaysen ThEH (1953) Proctalgia fugax: a little known form of pain in the rectum. Lancet ii:243–246
Theile GH (1963) Coccygodynia: cause and treatment. Dis Colon Rectum 6:422–436
Grant SR, Salvati EP, Rubin RJ (1975) Levator syndrome: an analysis of 316 cases. Dis Colon Rectum 18:161–163
Finamore P, Goldstein H, Whitmore K (2008) Pelvic floor muscle dysfunction: a review. J Pelvic Med Surg 14:417–422
Thompson WG (1981) Proctalgia fugax. Dig Dis Sci 26:1121–1124
Bharucha AE, Trabuco E (2008) Functional and chronic anorectal and pelvic pain disorders. Gastroenterol Clin North Am 37:685–696
Mazzo L, Formento E, Fronda G (2004) Anorectal and perineal pain: new pathophysiologi-cal hypothesis. Tech Coloproctol 8:77–83
Walker E, Katon W, Harrop-Griffiths J et al (1988) Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sex abuse. Am J Psychiatry 145: 75–80
Todd IP (1985) Clinical Evaluation of the Pelvic Floor. In: Henry MM and Swish M (eds), pp 187–188, Butterworth, London
Patel R, Appannagari A, Whang PG (2011) Coccydynia. Curr Rev Musculoskelet Med 1:223–226
Hompes R, Jones OM, Cunningham C, Lindsey I (2011) What causes chronic idiopathic perineal pain? Colorectal Dis 13:1035–1039
Thiele GM (1950) Coccygodynia: the mechanism of its production and its relationship to anorectal disease. Am J Surg 79:110–116
Everaert K, Devulder J, Muynck M et al (2001) The pain cycle: implications for the diagnosis and treatment of pelvic pain syndromes. Int Urogynaecol J Pelvic Floor Dysfunct 12:9–14
Neill ME, Swash M (1982) Chronic Perineal Pain: an unsolved problem. J R Soc Med 75:98–101
Wijffels NA, Collinson R, Cunningham C, Lindsey I (2010) What is the natural history on internal rectal prolapse? Colorectal Disease 12:822–830
Collinson R, Wijffels N, Cunningham C, Lindsey I (2010) Laparoscopic ventral rectopexy for internal rectal prolapse: short term functional results. Colorectal Dis 12:97–104
Hompes R, Lindsey I (2011) Chronic anorectal pain: a pathophysiological approach. In: Lindsey I, Nugent K, Dixon A (eds) Pelvic floor disorders for the colorectal surgeon, 1st edn. Oxford University Press, Oxford, pp 69–74
Jarrett ME, Wijffels NA, Slater A et al (2010) Enterocele is a marker of severe pelvic floor weakness. Colorectal Dis 7:158–162
Robert R, Labat JJ, Bensignor M et al (2005) Decompression and transposition of the pudendal nerve in pudendal neuralgia: a randomized controlled trial and long-term evaluation. Eur Urol 47:403–408
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Italia
About this chapter
Cite this chapter
Joshi, H.M., Jones, O.M. (2004). Chronic Anorectal Pain: Pathophysiological Aspects, Diagnosis, and Treatment. In: Gaspari, A.L., Sileri, P. (eds) Pelvic Floor Disorders: Surgical Approach. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5441-7_11
Download citation
DOI: https://doi.org/10.1007/978-88-470-5441-7_11
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5440-0
Online ISBN: 978-88-470-5441-7
eBook Packages: MedicineMedicine (R0)