- Foreword
- Preface
- Contributors list
- Chapter 1 Establishing and developing a pelvic floor service: the multidisciplinary team and the approach to patient assessment
- Chapter 2 Radiological workup
- Chapter 3 Anorectal physiology
- Chapter 4 Faecal incontinence: a pathophysiological approach
- Chapter 5 Obstructed defaecation: a pathophysiological approach
- Chapter 6 Chronic anorectal pain: a pathophysiological approach
- Chapter 7 Conservative treatment of pelvic floor disorders
- Chapter 8 Three compartments–working with a multidisciplinary team
- Chapter 9 Internal rectal prolapse
- Chapter 10 Anismus
- Chapter 11 Rectocele
- Chapter 12 Solitary rectal ulcer syndrome (SRUS)
- Chapter 13 Slow transit constipation
- Chapter 14 Perineoproctology (fissures and haemorrhoids)
- Chapter 15 Pudendal pain syndrome
- Chapter 16 Obstetric sphincter injury
- Chapter 17 Rectal sensory dysfunction
- Chapter 18 Laparoscopic ventral rectopexy (with posterior colporraphy and vaginal sacrocolpopexy)
- Chapter 19 STARR and Transtar
- Chapter 20 Complete pelvic floor ultrasound
- Chapter 21 Sacral neuromodulation
- Chapter 22 Anal bulking
- Chapter 23 Anterior sphincter repair
- Chapter 24 Neosphincters and artificial sphincters for treating faecal incontinence
- Index
(p. 69) Chronic anorectal pain: a pathophysiological approach
- Chapter:
- (p. 69) Chronic anorectal pain: a pathophysiological approach
- Author(s):
Roel Hompes
and Ian Lindsey
- DOI:
- 10.1093/med/9780199579624.003.0006
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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- Foreword
- Preface
- Contributors list
- Chapter 1 Establishing and developing a pelvic floor service: the multidisciplinary team and the approach to patient assessment
- Chapter 2 Radiological workup
- Chapter 3 Anorectal physiology
- Chapter 4 Faecal incontinence: a pathophysiological approach
- Chapter 5 Obstructed defaecation: a pathophysiological approach
- Chapter 6 Chronic anorectal pain: a pathophysiological approach
- Chapter 7 Conservative treatment of pelvic floor disorders
- Chapter 8 Three compartments–working with a multidisciplinary team
- Chapter 9 Internal rectal prolapse
- Chapter 10 Anismus
- Chapter 11 Rectocele
- Chapter 12 Solitary rectal ulcer syndrome (SRUS)
- Chapter 13 Slow transit constipation
- Chapter 14 Perineoproctology (fissures and haemorrhoids)
- Chapter 15 Pudendal pain syndrome
- Chapter 16 Obstetric sphincter injury
- Chapter 17 Rectal sensory dysfunction
- Chapter 18 Laparoscopic ventral rectopexy (with posterior colporraphy and vaginal sacrocolpopexy)
- Chapter 19 STARR and Transtar
- Chapter 20 Complete pelvic floor ultrasound
- Chapter 21 Sacral neuromodulation
- Chapter 22 Anal bulking
- Chapter 23 Anterior sphincter repair
- Chapter 24 Neosphincters and artificial sphincters for treating faecal incontinence
- Index