Pelvic Pain Associated with a Coloproctologic Etiology

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