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Anorectal and perineal pain: new pathophysiological hypothesis
1Department of Surgery 7, San Giovanni Hospital, Corso Bramante 88, I-10126, Turin, Italy. luca_mazz@hotmail.com
Techniques in Coloproctology
|August 17, 2004
Summary
Anorectal and perineal pain can stem from functional disorders like levator ani syndrome, coccydynia, and proctalgia fugax when organic causes are absent. This review explores diagnosis, management, and the potential influence of psychological factors on these pain conditions.
Area of Science:
- Gastroenterology and Pain Management
Background:
- Anorectal and perineal pain can arise from various organic conditions.
- Functional disorders present with similar pain but uncertain pathophysiology.
- Common functional causes include levator ani syndrome, coccygodynia, and proctalgia fugax.
Purpose of the Study:
- To review current understanding of functional anorectal and perineal pain disorders.
- To discuss diagnostic and management strategies for these conditions.
- To explore the potential role of psychological factors in their etiology.
Main Methods:
- Literature review of functional anorectal and perineal pain disorders.
- Analysis of diagnostic approaches.
- Evaluation of current management strategies.
- Consideration of psychological influences.
Main Results:
- Levator ani syndrome, coccygodynia, and proctalgia fugax are primary functional causes.
- Alcock's canal syndrome is another relevant condition.
- Diagnosis relies on excluding organic causes and characteristic symptoms.
- Management involves conservative and interventional approaches.
Conclusions:
- Functional anorectal and perineal pain disorders require specific diagnostic and management protocols.
- Psychological factors may play a significant role and warrant further investigation.
- A comprehensive approach is essential for effective patient care.
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