[Diagnostic algorithms for chronic pelvic and perineal pain: from symptoms to syndromes]
J Rigaud1, D Delavierre, L Sibert
1Clinique urologique, centre fédératif de pelvipérinéologie, hôpital Hôtel Dieu, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France. jrigaud@chu-nantes.fr
Introduction:
Patients with chronic pelvic and perineal pain often report diffuse, poorly systematized symptoms and the aetiological work-up can often be difficult. The purpose of this article is to propose a series of diagnostic algorithms to facilitate the aetiological work-up of chronic pelvic and perineal pain.
Material And Methods:
A review of the literature was performed by searching PubMed for articles on chronic pelvic and perineal pain. Diagnostic algorithms were established by starting with symptoms to define syndromes.
Results:
Algorithms were established for the various types of chronic pain: perineal pain, bladder pain, epididymotesticular pain, urethral pain, vulvar pain, inguinal pain, male dyspareunia, female dyspareunia and diffuse pelvic and perineal pain. A clinical assessment and complementary investigations were proposed for each algorithm to establish an aetiological diagnosis.
Conclusion:
The proposed algorithms are designed to be a clinical aid and do not constitute a comprehensive diagnostic approach to chronic pelvic and perineal pain.
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