Beruflich Dokumente
Kultur Dokumente
as an Etiology of
Chronic Perineal Pain:
Diagnosis and
CharlesTreatment
Popeney, Van Ansell, Ken
Renney
Perineum Perineum
83.87% 75.00%
Testicles Labia
67.74% 37.50%
Penis Clitoris
29.03% 33.33%
Rectum Rectum
38.71% 70.83%
Additional Features
Urinary hesitancy, frequency and
urgency (40%)
Constipation (29%) including painful
bowel movements
Sexual dysfunction (33%)
Prior Diagnosis
Interstitial Cystitis (30%)
Vulvadynia (50%)
Endometriosis (13%)
Prostatitis or epidymitis (63%)
Piriformis Syndrome (20%)
Levator Ani Syndrome (3%)
Coccydynia (6%)
Lumbosacral Radiculopathy (3%)
Chronic Pelvic Pain Syndrome (20%)
Patient Profile
Had seen multiple physicians
Failed multiple pharmacologic
treatments
Failed physiotherapy and perineal
hyperprotection
Severely disabled by pain
No evidence of organ disease
(negative work up for prostatitis,
epidymitis, negative scans of pelvic
and lumbosacral spine, normal
colorectal evaluation and
Disabling Symptoms
Average VAS Before Surgery: 6.06 Range
(2-10)
Question (before surgery): If you were to
spend the rest of your life with your
symptoms just the way they have been
during the last week, how would you feel
about that?
---- 86.21% of patients answered Terrible or
Unhappy