Functional and Chronic Anorectal and Pelvic Pain Disorders

Overview

Journal Gastroenterol Clin North Am

Specialty Gastroenterology

Date 2008 Sep 17

PMID 18794003

Citations 14

Authors

Adil E Bharucha

Emanuel Trabuco

Affiliations

Soon will be listed here.

Abstract

Several organic and functional disorders of the urinary bladder, reproductive tract, anorectum, and the pelvic floor musculature cause pelvic pain. This article describes functional disorders in which chronic pelvic and anorectal pain cannot be explained by a structural or other specified pathology. Currently, these functional disorders are classified into urogynecologic conditions or cystitis and painful bladder syndrome, anorectal disorders, and the levator ani syndrome. Although nomenclature suggests that these conditions are distinct, there is considerable overlap of their symptoms and these disorders have much in common.

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References

Tu F, Holt J, Gonzales J, Fitzgerald C . Physical therapy evaluation of patients with chronic pelvic pain: a controlled study. Am J Obstet Gynecol. 2008; 198(3):272.e1-7. DOI: 10.1016/j.ajog.2007.09.002. View

Chen R, Nickel J . Acupuncture ameliorates symptoms in men with chronic prostatitis/chronic pelvic pain syndrome. Urology. 2003; 61(6):1156-9; discussion 1159. DOI: 10.1016/s0090-4295(03)00141-9. View

Gregoire M, Liandier F, Naud A, Lacombe L, Fradet Y . Does the potassium stimulation test predict cystometric, cystoscopic outcome in interstitial cystitis?. J Urol. 2002; 168(2):556-7. View

Anderson R, Orenberg E, Chan C, Morey A, Flores V . Psychometric profiles and hypothalamic-pituitary-adrenal axis function in men with chronic prostatitis/chronic pelvic pain syndrome. J Urol. 2008; 179(3):956-60. PMC: 2694575. DOI: 10.1016/j.juro.2007.10.084. View

Swain R . Oral clonidine for proctalgia fugax. Gut. 1987; 28(8):1039-40. PMC: 1433132. DOI: 10.1136/gut.28.8.1039. View

LILIUS H, ORAVISTO K, Valtonen E . Origin of pain in interstitial cystitis. Effect of ultrasound treatment on the concomitant levator ani spasm syndrome. Scand J Urol Nephrol. 1973; 7(2):150-2. DOI: 10.3109/00365597309133690. View

Hu J, Link C, McNaughton-Collins M, Barry M, McKinlay J . The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health survey. J Gen Intern Med. 2007; 22(11):1532-7. PMC: 2219794. DOI: 10.1007/s11606-007-0341-y. View

Dimitrakov J, Kroenke K, Steers W, Berde C, Zurakowski D, Freeman M . Pharmacologic management of painful bladder syndrome/interstitial cystitis: a systematic review. Arch Intern Med. 2007; 167(18):1922-9. PMC: 2135553. DOI: 10.1001/archinte.167.18.1922. View

THIELE G . COCCYGODYNIA: CAUSE AND TREATMENT. Dis Colon Rectum. 1963; 6:422-36. DOI: 10.1007/BF02633479. View

10.

Mehik A, Hellstrom P, Sarpola A, Lukkarinen O, Jarvelin M . Fears, sexual disturbances and personality features in men with prostatitis: a population-based cross-sectional study in Finland. BJU Int. 2001; 88(1):35-8. DOI: 10.1046/j.1464-410x.2001.02259.x. View

11.

Eckardt V, Dodt O, Kanzler G, Bernhard G . Anorectal function and morphology in patients with sporadic proctalgia fugax. Dis Colon Rectum. 1996; 39(7):755-62. DOI: 10.1007/BF02054440. View

12.

Butrick C . Interstitial cystitis and chronic pelvic pain: new insights in neuropathology, diagnosis, and treatment. Clin Obstet Gynecol. 2003; 46(4):811-23. DOI: 10.1097/00003081-200312000-00011. View

13.

True L, Berger R, Rothman I, Ross S, Krieger J . Prostate histopathology and the chronic prostatitis/chronic pelvic pain syndrome: a prospective biopsy study. J Urol. 1999; 162(6):2014-8. DOI: 10.1016/S0022-5347(05)68090-1. View

14.

Graham E, Chai T . Dysfunction of bladder urothelium and bladder urothelial cells in interstitial cystitis. Curr Urol Rep. 2006; 7(6):440-6. DOI: 10.1007/s11934-006-0051-8. View

15.

Fall M, Oberpenning F, Peeker R . Treatment of bladder pain syndrome/interstitial cystitis 2008: can we make evidence-based decisions?. Eur Urol. 2008; 54(1):65-75. DOI: 10.1016/j.eururo.2008.03.086. View

16.

Peeker R, Aldenborg F, Fall M . The treatment of interstitial cystitis with supratrigonal cystectomy and ileocystoplasty: difference in outcome between classic and nonulcer disease. J Urol. 1998; 159(5):1479-82. DOI: 10.1097/00005392-199805000-00018. View

17.

Hill J, Isom-Batz G, Panagopoulos G, Zakariasen K, Kavaler E . Patient perceived outcomes of treatments used for interstitial cystitis. Urology. 2008; 71(1):62-6. DOI: 10.1016/j.urology.2007.09.011. View

18.

Weiss J . Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome. J Urol. 2001; 166(6):2226-31. DOI: 10.1016/s0022-5347(05)65539-5. View

19.

KARRAS J, Angelo G . Proctalgia fugax. Clinical observations and a new diagnostic aid. Dis Colon Rectum. 1963; 6:130-4. DOI: 10.1007/BF02633466. View

20.

Thompson W . Proctalgia fugax in patients with the irritable bowel, peptic ulcer, or inflammatory bowel disease. Am J Gastroenterol. 1984; 79(6):450-2. View