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Pelvic Pain Associated with a Coloproctologic Etiology

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Pelvic Floor Disorders

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Abstract

Pelvic pain is the most common form of pain experienced by people and one of the most frequent reasons inducing patients to seek medical attention. Many conditions are related to anorectal pain: inflammatory disease; functional disease; pelvic tumors; post operative complications. In inflammatory bowel disease (IBD) patients experience visceral pain secondary to hyperalgesia and allodynia. Hyperalgesia is a peculiarity of patients with active ulcerative colitis (UC), while hypoalgesia is typical of patients with quiescent or mild UC and Crohn’s disease (CD). Inflammatory pelvic diseases such as prostatitis or interstitial cystitis can cause recto-anal pain, also. “Functional” disorders such as levator ani syndrome, proctalgia fugax, coccygodynia and Alcock’s canal syndrome evoke severe anal pain and affect the quality of life of patients. Irritable bowel syndrome (IBS) patients complain of pelvic pain, although there are no structural lesions underlying this symptom. The central nervous system plays a major role in the pathophysiology of IBS, also. Anorectal tumours commonly cause pain. Radiotherapy has been demonstrated to be an useful mean to improve pelvic pain significantly. Sexually transmitted infections can cause proctitis. The most common symptom of infectious proctitis is anorectal pain. Gonorrhoea, chlamydia, herpes simplex virus and syphilis are the commonest causative infectious agents. Specific therapy is ideal but not always feasible. Bowel endometriosis causes a wide variety of symptoms, which range from rectal bleeding to pelvic pain on defecation. Haemorrhoids, anal fissures and anal absceses are the most common proctological diseases associated with anal pain. Chronic proctalgia has been also described after many surgical procedures such as PPH and STARR. In summary, pelvic pain involves many visceral organs. Accuracy in collecting medical informations and in phyisical examination is fundamental. Pelvic pain should be approached by a multidisciplinary team in order to reach the best results in diagnosis and treatments.

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References

  1. Mathias SD, Kuppermann M, Liberman RF et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 1996;87:321Y7.

    Article  Google Scholar 

  2. Zondervan KT, Yudkin PL, Vessey MP et al. Chronic pelvic pain in the community. Symptoms, investigations, and diagnoses. Am J Obstet Gynecol 2001;184:1149–1155.

    Article  PubMed  CAS  Google Scholar 

  3. Kamm MA. Chronic pelvic pain in women—gastroenterological, gynaecological or psychological? Int J Colorectal Dis 1997;12:57–62.

    Article  PubMed  CAS  Google Scholar 

  4. Wesselmann U, Czakanski PP. Pelvic pain: a chronic visceral pain syndrome. Curr Pain Headache Rep 2001;5:13–19.

    Article  PubMed  CAS  Google Scholar 

  5. Kalish GM, Patel MD, Gunn ML, Dubinsky TJ. Computed tomographic and magnetic resonance features of gynecologic abnormalities in women presenting with acute or chronic abdominal pain. Ultrasound Q 2007;23:167–175.

    Article  PubMed  Google Scholar 

  6. Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics 2008;28:1645–1659.

    Article  PubMed  Google Scholar 

  7. Munkholm P, Langholz E, Davidsen M et al. Intestinal cancer risk and mortality in patients with Crohn’s disease. Gastroenterology 1993;105:1716–1723.

    PubMed  CAS  Google Scholar 

  8. Jewell PD. Ulcerative colitis. In: Feldman M, Friedman LS, Sleisenger MH (eds) Sleisenger & Fordtran’s gastrointestinal and liver diseases. WB Saunders, Philadelphia (PA), 2002, pp 2039–2067.

    Google Scholar 

  9. Drewers AM, Frøkjer JB, Larsen E et al. Pain and mechanical properties of rectum in patients with active ulcerative colitis. Inflamm Bowel Dis 2006;12:294–302.

    Article  Google Scholar 

  10. Loening-Baucke V. Anorectal manometry in active and quiescent ulcerative colitis. Am J Gastroenterol 1989; 8:892–897.

    Google Scholar 

  11. Denis P, Colin R, Galmiche JP. Elastic properties of the rectal wall in normal adults and in patients with ulcerativecolitis. Gastroenterology 1979;77:45–48.

    PubMed  CAS  Google Scholar 

  12. Byers MR, Bonica JJ. Peripheral pain mechanisms and nociceptor plasticity. In: Loeser JD, Butler SH, Chapman CR et al (eds) Bonica’s management of pain. Lippincott Williams & Wilkins, Philadelphia (PA), 2001, pp 26–72.

    Google Scholar 

  13. Gschossmann JM, Liebregts T, Adam B et al. Long-term effects of transient chemically induced colitis on the visceromotor response to mechanical colorectal distension. Dig Dis Sci 2004;49:96–101.

    Article  PubMed  CAS  Google Scholar 

  14. Cervero F, Laird JMA. Visceral Pain. Lancet 1999; 353:2145–2148.

    Article  PubMed  CAS  Google Scholar 

  15. Cervero F. Sensory Innervation of the viscera: peripheral basis of visceral pain. Physiol Rev 1994;74:95–138.

    PubMed  CAS  Google Scholar 

  16. Farthing MJG, Lennard-Jones JE. Sensibility of rectum to distension and anorectal distension reflex in ulcerative-colitis. Gut 1978;19:64–69.

    Article  PubMed  CAS  Google Scholar 

  17. Chang L, Munakata J, Mayer EA et al. Perceptual responses in patients with inflammatory and functional bowel disease. Gut 2000;47:497–505.

    Article  PubMed  CAS  Google Scholar 

  18. Stein C. The control of pain in peripheral tissue by opioids. N Engl J Med 1995;332:1685–1690.

    Article  PubMed  CAS  Google Scholar 

  19. Mayer EA, Gebhart GF. Basic and clinical aspects of visceral hyperalgesia. Gastroenterology 1994;107:271–293.

    PubMed  CAS  Google Scholar 

  20. Mayer EA, Berman S, Suyenobu B et al. Differences in brain responses to visceral pain between patients with irrisection VII complete_Layout 1 07/07/10 13.02 Pagina 589 table bowel syndrome and ulcerative colitis. Pain 2005; 115:398–409.

    Article  PubMed  Google Scholar 

  21. Dixon NF. Preconscious processing. John Wiley and Sons, New York, 1987.

    Google Scholar 

  22. Bernstein CN, Niazi N, Robert M et al. Rectal afferent function in patients with inflammatory and functional intestinal disorders. Pain 1996;66:151–161.

    Article  PubMed  CAS  Google Scholar 

  23. Cook IJ, Van Eeden A, Collins SM. Patients with irritable bowel syndrome have greater pain tolerance than normal subjects. Gastroenterology 1987;93:727–733.

    PubMed  CAS  Google Scholar 

  24. Mertz H, Fullerton S, Naliboff B et al. Symptoms and visceral perception in severe functional and organic dyspepsia. Gut 1998;42:814–822.

    Article  PubMed  CAS  Google Scholar 

  25. Nickel JC, Downey J, Johnston B et al; The Canadian Prostatitis Research Group. Predictors of patient response to antibiotic therapy for the chronic prostatitis/chronic pelvic pain syndrome: a prospective multicenter clinical trial. J Urol 2001;165:1539–1544.

    Article  PubMed  CAS  Google Scholar 

  26. Schaeffer AJ, Knauss JS, Landis JR et al; Chronic Prostatitis Collaborative Research Network Study Group. Leukocyte and bacterial counts do not correlate with severity of symptoms in men with chronic prostatitis: the National Institutes of Health Chronic Prostatitis Cohort Study. J Urol 2002;168:1048–1053.

    Article  PubMed  Google Scholar 

  27. Wald A. Functional anorectal and pelvic pain. Gastroenterol Clin North Am 2001;30:243–251.

    Article  PubMed  CAS  Google Scholar 

  28. Ng CL. Levator ani syndrome — a case study and literature review. Aust Fam Physician 2007;36:449–452.

    PubMed  Google Scholar 

  29. Fitzwater JB, Kuehl TJ, Schrier JJ. Electrical stimulation in the treatment of pelvic pain due to levator ani spasm. J Reprod Med 2003;48:573–577.

    PubMed  Google Scholar 

  30. Fogel GR, Cunningham PY 3rd, Esses SI. Coccygodynia: evaluation and management. J Am Acad Orthop Surg 2004;12:49–54.

    PubMed  Google Scholar 

  31. Wu CL, Yu KL, Chuang HY et al. The application of infrared thermography in the assessment of patients with coccygodynia before and after manual therapy combined with diathermy. J Manipulative Physiol Ther 2009;32:287–293.

    Article  PubMed  Google Scholar 

  32. Mouhsine E, Garofalo R, Chevalley F et al. Posttraumatic coccygeal instability. Spine J 2006;6:544–549.

    Article  PubMed  Google Scholar 

  33. Pisani R, Stubinski R, Datti R. Entrapment neuropathy of the internal pudendal nerve. Report of two cases. Scand J Urol Nephrol 1997;31:407–410.

    Article  PubMed  CAS  Google Scholar 

  34. Amarenco G, Lanoe Y, Ghnassia RT et al. Syndrome du canal d’Alcock et névralgie périnéale. Rev Neurol Paris 1988;144:523–526.

    PubMed  CAS  Google Scholar 

  35. Roche B, Robert-Yap J, Skala K, Zufferey G. Pudendal nerve compression syndrome. www.siccr.org 2009;20:172–179.

    Google Scholar 

  36. Kovacs P, Gruber H, Piegger J, Bodner G. New, simple, ultrasound-guided infiltration of the pudendal nerve: ultrasonographic technique. Dis Colon Rectum 2001;44:1381–1385.

    Article  PubMed  CAS  Google Scholar 

  37. Fall M, Baranowski AP, Elneil S et al. EAU Guidelines on chronic pelvic pain. Eur Urol 2010;57:31–48.

    Article  Google Scholar 

  38. McKendrick MW, Read NW. Irritable bowel syndromepost salmonella infection. J Infect 1994;29:1–3.

    Article  PubMed  CAS  Google Scholar 

  39. Gwee KA, Graham JC, McKendrick MW et al. Psychometric scores and persistence of irritable bowel after infectious diarrhoea. Lancet 1996;347:150–153.

    Article  PubMed  CAS  Google Scholar 

  40. Bonaz B. Visceral sensitivity perturbation integration in the brain-gut axis in functional digestive disorders. J Physiol Pharmacol 2003;54(suppl 4):27–42.

    PubMed  Google Scholar 

  41. Moisset X, Bouhassira D, Denis D et al. Anatomical connections between brain areas activated during rectal distension in healthy volunteers: a visceral pain network. Eur J Pain 2010;14:142–148.

    Article  PubMed  Google Scholar 

  42. Martenson ME, Cetas JS, Heinricher MM. A possible neural basis for stress-induced hyperalgesia. Pain 2009; 142:236–244.

    Article  PubMed  Google Scholar 

  43. Nozu T, Kudaira M, Kitamori S, Uehara A. Repetitive rectal painful distention induces rectal hypersensitivity in patients with irritable bowel syndrome. J Gastroenterol 2006; 41:217–222.

    Article  PubMed  Google Scholar 

  44. Khalif IL, Quigley EM, Makarchuk PA et al. Interactions between symptoms and motor and visceral sensory responses of irritable bowel syndrome patients to spasmolytics (antispasmodics). J Gastrointestin Liver Dis 2009; 18:17–22.

    PubMed  Google Scholar 

  45. Hamer HM, Jonkers D, Venema K et al. Review article: the role of butyrate on colonic function. Aliment Pharmacol Ther 2008;15;27:104–119.

    Google Scholar 

  46. Vanhoutvin SA, Troost FJ, Kilkens TO et al. The effects of butyrate enemas on visceral perception in healthy volunteers. Neurogastroenterol Motil 2009;21:952–e76.

    Article  PubMed  CAS  Google Scholar 

  47. Boman BM, Moertel CG. Carcinoma of the anal canal. A clinical and pathologic study of 188 cases. Cancer 1984;54:114–125.

    Article  PubMed  CAS  Google Scholar 

  48. Bracey EE, Mathur P, Dooldeniya M et al. Unusual perianal tumours masquerading as abscesses. Int J Clin Pract 2003;57:343–346

    PubMed  CAS  Google Scholar 

  49. Dujardin F, Beaussart P, de Muret A et al. Primary neuroendocrine tumor of the sacrum: case report and review of the literature. Skeletal Radiol 2009;38:819–823.

    Article  PubMed  Google Scholar 

  50. Nelson RL, Prasad ML, Abcarian H. Anal carcinoma presenting as a perirectal abscess or fistola. Arch Surg 1985;120:632–635.

    PubMed  CAS  Google Scholar 

  51. Infantino A, Pisegna Cerone L. Rare neoplasias of the anus and the perineum: acute manifestations. www.siccr.org 2006;16:135–145.

    Google Scholar 

  52. De Haas-Kock DF, Buijsen J, Pijls-Johannesma M et al. Concomitant hyperthermia and radiation therapy for treating locally advanced rectal cancer. Cochrane Database Syst Rev 2009;(3):CD006269.

    Google Scholar 

  53. Din OS, Thanvi N, Ferguson CJ, Kirkbride P. Palliative prostate radiotherapy for symptomatic advanced prostate cancer. Radiother Oncol 2009;93:192–196.

    Article  PubMed  Google Scholar 

  54. Kim TO, Song GA, Lee SM et al. Rebampide enema therapy as a treatment for patients with chronic radiation proctitis: initial treatment or when other methods of conservative management have failed. Int J Colorectal Dis 2008; 23:629–633.

    Article  PubMed  Google Scholar 

  55. Heald RJ, Ryall RD. Recurrence and survival after total mesorectal excision for rectal cancer. Lancet 1986; 28:1479–1482.

    Article  Google Scholar 

  56. Ceelen W, Fierens K, Van Nieuwenhove Y, Pattyn P. Preoperative chemoradiation versus radiation alone for stage II and III resectable rectal cancer: a systematic review and meta-analysis. Int J Cancer 2009;15;124:2966–2972.

    Google Scholar 

  57. Law WL, Chu KW. Anterior resection for rectal cancer with mesorectal excision: a prospective evaluation of 622 patients. Ann Surg 2004;240:260–268.

    Article  PubMed  Google Scholar 

  58. Hohenberger W, Merkel S, Matzel K et al. The influence of abdomino-peranal (intersphincteric) resection of lower third rectal carcinoma on the rates of sphincter preservation and locoregional recurrence. Colorectal Dis 2006;8:23–33.

    Article  PubMed  CAS  Google Scholar 

  59. Milani V, Pazos M, Buecklein V et al. Radiochemotherapy in combination with regional hyperthermia in preirradiated patients with recurrent rectal cancer. Strahlenther Onkol 2008;184:163–168.

    Article  PubMed  Google Scholar 

  60. Andreyev J. Gastrointestinal symptoms pelvic radiotherapy: a new understanding to improve management of symptomatic patients. Lancet Oncol 2007;8:1007–1017.

    Article  PubMed  Google Scholar 

  61. Alfadhli AA, Alazmi WM, Ponich T et al. Efficacy of argon plasma coagulation compared to topical formalin application for chronic radiation proctopathy. Can J Gastroenterol 2008;22:129–132.

    PubMed  CAS  Google Scholar 

  62. Davis TW, Goldstone SE. Sexually transmitted infections as a cause of proctitis in men who have sex with men. Dis Colon Rectum 2009;52:507–512.

    PubMed  Google Scholar 

  63. Hamlyn E, Taylor C. Sexually transmitted proctitis. Postgrad Med J 2006;82:733–736.

    Article  PubMed  CAS  Google Scholar 

  64. Kent C, Chaw JK, Wong W et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhea detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis 2005; 41:67–74.

    Article  PubMed  Google Scholar 

  65. Elford J, Bolding G, Davis M et al. Trends in sexual behaviour among London homosexual men 1998-2003: implications for HIV prevention and sexual health promotion. Sex Transm Infect 2004;80:451–454.

    Article  PubMed  CAS  Google Scholar 

  66. Moscicki AB, Millstein SG, Broering J, Irwin CE. Risks of human immunodeficiency virus infection among adolescents attending three diverse clinics. J Pediatrics 1993;122:813–820.

    Article  CAS  Google Scholar 

  67. Kang SY, Magura S, Shapiro JL. Correlates of cocaine/crack use among innercity incarcerated adolescents. Am J Drug Alcohol Abuse 1994;20:413–429.

    Article  PubMed  CAS  Google Scholar 

  68. Melnick SL, Jeffery RW, Burke GL et al. Changes in sexual behavior by young urban heterosexual adults in response to the AIDS epidemic. Public Health Reports 1993; 108:582–588.

    PubMed  CAS  Google Scholar 

  69. Macdonald N, Dougan S, McGarrigle CA et al. Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales among men who have sex with men. Sex Transm Infect 2004;80:492–497.

    Article  PubMed  CAS  Google Scholar 

  70. Klausner JD, Kohn R, Kent C. Etiology of clinical proctitis among men who have sex with men. Clin Infect Dis 2004;38:300Y2.

    Google Scholar 

  71. Mindel A, Tovey SJ, Timmins DJ, Williams P. Primary and secondary syphilis, 20 years’ experience. 2. Clinical features. Genitourin Med 1989;65:1–3.

    PubMed  CAS  Google Scholar 

  72. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997;24:235–258.

    Article  PubMed  CAS  Google Scholar 

  73. Valle RF, Sciarra JJ. Endometriosis: treatment strategies. Ann N Y Acad Sci 2003;997:229–239.

    Article  PubMed  Google Scholar 

  74. Parazzini F, Luchini L, Vezzoli F et al. Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions: result from a multicentric Italian study. Hum Reprod 1994;6:1158–1162.

    Google Scholar 

  75. Azzena A, Litta P, Ferrara A et al. Rectosigmoid endometriosis: diagnosis and surgical management. Clin Exp Obstet Gynecol 1998;25: 94–96.

    PubMed  CAS  Google Scholar 

  76. Prystowsky JB, Stryker SJ, Ujiki GT, Poticha SM. Gastrointestinal endometriosis. Incidence and indication for resection. Arch Surg 1988;123:855–858.

    PubMed  CAS  Google Scholar 

  77. Urbach DR, Reedijk M, Richard CS et al. Bowel Resection for intestinal endometriosis. Dis Colon Rectum 1998; 41:1158–1164.

    Article  PubMed  CAS  Google Scholar 

  78. Ballard K, Lane H, Hudelist G et al. Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain. Fertil Steril 2009;31 March epub ahead of print.

    Google Scholar 

  79. Hensen JH, Puylaert JB. Endometriosis of the posterior cul-de-sac: clinical presentation and findings at transvaginal ultrasound. AJR Am J Roentgenol 2009;192:1618–1624.

    Article  PubMed  Google Scholar 

  80. Butrick CW. Patients with chronic pelvic pain: endometriosis or interstitial cystitis/painful bladder syndrome? JSLS 2007;11:182–189.

    PubMed  Google Scholar 

  81. Hudelist G, Oberwinkler KH, Singer CF et al. Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis. Hum Reprod 2009;24:1018–1024.

    Article  PubMed  CAS  Google Scholar 

  82. Fijten GH, Blijham GH, Knottnerus JA. Occurrence and clinical significance of overt blood loss per rectum in the general population and in medical practice. Br J Gen Pract 1994;44:320–325.

    PubMed  CAS  Google Scholar 

  83. Johanson JF, Sonnemberg A. The prevalence of hemorrhoids and chronic costipation. An epidemiological study. Gastroenterology 1990;98:380–386.

    PubMed  CAS  Google Scholar 

  84. Goligher JC. Surgery of the anus, rectum and colon, 4th edn. Balliere Tindall, London, 1980, pp 93–135.

    Google Scholar 

  85. Gaj F, Trecca A. PATE 2000 Sorrento: a modern, effective instrument for defining haemorrhoids. A multicentre observational study conducted in 930 symptomatic patients. Chir Ital 2004;56:509–515.

    PubMed  Google Scholar 

  86. Giffin N, Acheson AG, Tung P et al. Quality of life in patients with chronic anal fissure. Colorect Dis 2004; 6:39–44.

    Article  Google Scholar 

  87. Jost WH. One hundred cases of anal fissure treated with botulinum toxin. Early and long-term results. Dis Colon Rectum 1997;40:1029–1032.

    Article  PubMed  CAS  Google Scholar 

  88. Brisinda G, Maria G, Bentivoglio AR et al. A comparison of injection of botulinum toxin and topical nitroglycerine ointment for the treatment of chronic anal fissure. N Eng J Med 1999;341:65–69.

    Article  CAS  Google Scholar 

  89. Altomare DF, Rinaldi M, Milito G et al. Glyceryl trinitrate for chronic anal fissure-healing or headache? Results of a multicenter, randomized, placebo-controlled, double-blind trial. Dis Colon Rectum 2000;43:174–179.

    Article  PubMed  CAS  Google Scholar 

  90. Orsay C, Rakinic J, Perry WB et al. Prepared by The Standard Practice Task Force The American Society of Colon Rectal Surgeons; Practice parameters for the management of anal fissure (revised). Dis Colon Rectum 2004;47:2003–2004.

    Article  PubMed  Google Scholar 

  91. Perrotti P, Bove A, Antropoli C et al. Topical nifedipine with lidocaine ointment vs. active control for treatment of chronic anal fissure: results of a prospective, randomized, double-blind study. Dis Colon Rectum 200245:1468–1475.

    Article  PubMed  Google Scholar 

  92. Gaj F, Trecca A. Evaluation of the efficacy of a new graduated anal dilator in the treatment of acute anal fissures. Chir Ital 2007;59:545–550.

    Google Scholar 

  93. Nelson RL. Operative procedures for fissure in ano. Cochrane Database Syst Rev 2005;(2):CD002199.

    Google Scholar 

  94. Santoro GA, Di Falco G. Atlas of endoanal and endorectal ultrasonography. Staging and Treatment Options for Anorectal Cancer Springer-Verlag Italia, Milan, 2003, pp 44–45.

    Google Scholar 

  95. Dal Corso HM, D’Elia A, De Nardi P et al. Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers. Tech Coloproctol 2007;11:26–33.

    Article  Google Scholar 

  96. Forlini A, Manzelli A, Quaresima S, Forlini M. Long-term result after rubber band ligation for haemorrhoids. Int J Colorectal Dis 2009;24:1007–1010.

    Article  PubMed  Google Scholar 

  97. Dodi G, Bogoni F, Infantino A et al. Hot or cold in anal pain? A study of the changes in internal anal sphincter pressure profiles. Dis Colon Rectum 1986;29:248–251.

    Article  PubMed  CAS  Google Scholar 

  98. Gupta P. Randomized, controlled study comparing sitzbath and no-sitz-bath treatments in patients with acute anal fissures. Aust N Z J Surg 2006;76:718–721.

    Article  Google Scholar 

  99. Tejirian T, Abbas MA. Sitz bath: where is the evidence? Scientific basis of a common practice. Dis Colon Rectum 2005;48:2336–2340.

    Article  PubMed  Google Scholar 

  100. Hsu KF, Chia JS, Jao SW et al. Comparison of clinical effects between warm water spray and sitz bath in post-hemorrhoidectomy period. J Gastrointest Surg 2009;13:1274–1278.

    Article  PubMed  Google Scholar 

  101. Tjandra JJ, Chan MK. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Dis Colon Rectum 2007;50:878–892.

    Article  PubMed  Google Scholar 

  102. Sultan S, Rabahi N, Etienney I, Atienza P. Stapled haemorrhoidopexy: Six years’ experience of a referral centre. Colorectal Dis 2009;13 April epub ahead of print.

    Google Scholar 

  103. Isbert C, Reibetanz J, Jayne DG et al. Comparative study of Contour Transtar and STARR procedure for the treatment of obstructed defecation syndrome (ODS) — feasibility, morbidity and early functional results. Colorectal Dis 2009;29 April epub ahead of print.

    Google Scholar 

  104. Jayaraman S, Colquhoun PH, Malthaner RA. Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis Colon Rectum 2007;50:1297–1305.

    Article  PubMed  Google Scholar 

  105. Pescatori M, Gagliardi G. Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 2008;12:7–19.

    Article  PubMed  CAS  Google Scholar 

  106. De Nardi P, Corsetti M, Staudacher C. Rectal wall exclusion: a new complication after STARR procedure. Colorectal Dis 2009;10 June epub ahead of print.

    Google Scholar 

  107. Mibu R, Hotokezaka M, Mihara S, Tanaka M. Results of linearly polarized near-infrared irradiation therapy in patients with intractable anorectal pain. Dis Colon Rectum 2003;46:S50–3.

    Google Scholar 

  108. Stojanovic MP. Stimulation methods for neuropathic pain control. Curr Pain Headache Rep 2001;5:130–137.

    Article  PubMed  CAS  Google Scholar 

  109. John H, Rüedi C, Kötting S et al. A new high frequency electrostimulation device to treat chronic prostatitis. J Urol 2003;170:1275–1277.

    Article  PubMed  Google Scholar 

  110. Falletto E, Masin A, Lolli P et al; GINS (Italian Group for Sacral Neuromodulation). Is sacral nerve stimulation an effective treatment for chronic idiopathic anal pain? Dis Colon Rectum 2009;52:456–462.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, “Santa Maria dei Battuti” Hospital, San Vito al Tagliamento, Pordenone, Italy

    Aldo Infantino MD & Andrea Lauretta MD

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  1. Aldo Infantino MD
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  1. Pelvic Floor Unit and Colorectal Service 1st Department of General Surgery, Regional Hospital, Treviso, Italy

    Giulio Aniello Santoro (Head) (Head)

  2. Department of Pediatric Radiology Children’s Teaching Hospital, Skubiszewski Medical University of Lublin, Lublin, Poland

    Andrzej Paweł Wieczorek

  3. Diagnostic Imaging, Princess Grace Hospital, London, UK

    Clive I. Bartram

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Infantino, A., Lauretta, A. (2010). Pelvic Pain Associated with a Coloproctologic Etiology. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_79

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