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Functional anorectal and pelvic pain.

A Wald1

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Gastroenterology Clinics of North America
|June 8, 2001
PubMed
Summary

Functional anorectal and pelvic pain syndromes are common yet poorly understood conditions affecting quality of life. This review clarifies diagnosis and management for these diverse disorders.

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Area of Science:

  • Gastroenterology and Gynecology
  • Pelvic Health and Pain Management

Background:

  • Functional anorectal and pelvic pain syndromes significantly impact patient quality of life.
  • Physician understanding of these conditions is often limited, hindering effective care.

Purpose of the Study:

  • To review diverse functional anorectal and pelvic pain disorders.
  • To outline diagnostic and management approaches for these conditions.

Main Methods:

  • Review of non-gynecologic causes (e.g., levator ani syndrome, proctalgia fugax, coccygodynia).
  • Discussion of gynecologic origins of chronic pelvic pain (e.g., endometriosis, adhesions).
  • Emphasis on clinical history and physical examination for diagnosis.

Main Results:

  • Non-gynecologic causes can often be differentiated through detailed patient history and physical assessment.
  • Gynecologic causes encompass a range of pelvic organs and conditions like endometriosis.
  • A systematic approach is crucial for accurate diagnosis.

Conclusions:

  • Functional anorectal and pelvic pain syndromes are complex and require a comprehensive understanding.
  • Effective diagnosis relies on distinguishing between various etiologies.
  • Appropriate management strategies can improve patient outcomes and quality of life.

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