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Chronic anorectal pain: a pathophysiological approach 

Chronic anorectal pain: a pathophysiological approach
Chronic anorectal pain: a pathophysiological approach

Roel Hompes

and Ian Lindsey

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date: 25 July 2021

Chapter 6 discusses chronic idiopathic perineal pain (CIPP), a term used to try to describe several subgroups of patients with chronic anorectal pain. The most common pain syndromes are chronic proctalgia (called levator ani syndrome in the US), proctalgia fugax and coccydynia. These pain syndromes have generally been poorly understood and managed, and there is probably considerable overlap in the symptomatology of these subgroups and they may in fact represent variations of the same general disorder. In general they are distinguished on the basis of duration of painful episodes, frequency, and other characteristics.

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