SynthesisWorld journal of gastroenterology2011
Chronic proctalgia and chronic pelvic pain syndromes: new etiologic insights and treatment options.
Synthesis in World journal of gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Physiotherapy approaches for coccydynia: evaluating effectiveness and clinical outcomes.BMC musculoskeletal disorders · 2025Pooled it
- Evaluation and management of chronic anorectal and pelvic pain syndromes: Italian Society of Colorectal Surgery (SICCR) position statement.Techniques in coloproctology · 2024Guideline
- ANMS-ESNM position paper and consensus guidelines on biofeedback therapy for anorectal disorders.Neurogastroenterology and motility · 2015Guideline
- Clinical phenotypes and treatment patterns in men with chronic pelvic pain: a tertiary referral cohort.International urology and nephrology · 2026Article
- Palliation for Inoperable Infectious and Neoplastic Long-Term Surgical Complications.Clinics in colon and rectal surgery · 2026Review
- Review
- The Efficacy of an Ultrasound-Guided Improved Puncture Path Technique of Nerve Block/Pulsed Radiofrequency for Pudendal Neuralgia: A Retrospective Study.Brain sciences · 2022Article
- Biofeedback for Pelvic Floor Disorders.Clinics in colon and rectal surgery · 2021Review
- A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series.The Journal of manual & manipulative therapy · 2020Article
- Proctalgia Syndromes: Update in Diagnosis and Management.Current gastroenterology reports · 2020Review
- Limited Utility for Benzodiazepines in Chronic Pain Management: A Narrative Review.Advances in therapy · 2020Review
- How is your proctology patient really doing? Outcome measurement in proctology: development, design and validation study of the Proctoprom.Techniques in coloproctology · 2020Article
- Neuromodulation for Pelvic and Urogenital Pain.Brain sciences · 2018Review
- Perianal abscess mimicking levator ani syndrome: a case report and approach to the differential diagnosis of anorectal pain.The Journal of the Canadian Chiropractic Association · 2017Article
- Role of three-dimensional endoanal ultrasound in assessing the anal sphincter morphology of female patients with chronic proctalgia.World journal of gastroenterology · 2017Article
- Non-invasive stimulation techniques to relieve abdominal/pelvic pain: Is more always better?World journal of gastroenterology · 2017Article
- Presacral abscess as a rare complication of sacral nerve stimulator implantation.Annals of the Royal College of Surgeons of England · 2017Article
- Nontraumatic Testicular Pain due to Sacroiliac-Joint Dysfunction: A Case Report.Journal of athletic training · 2016Article
- Persistent anal and pelvic floor pain after PPH and STARR: surgical management of the fixed scar staple line.International journal of colorectal disease · 2016Article
- Magnetic resonance imaging-guided perineural therapy as a treatment option in young adults with pudendal nerve entrapment syndrome.Clinical neuroradiology · 2013Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
This systematic review addresses the pathophysiology, diagnostic evaluation, and treatment of several chronic pain syndromes affecting the pelvic organs: chronic proctalgia, coccygodynia, pudendal neuralgia, and chronic pelvic pain. Chronic or recurrent pain in the anal canal, rectum, or other pelvic organs occurs in 7% to 24% of the population and is associated with impaired quality of life and high health care costs. However, these pain syndromes are poorly understood, with little research evidence available to guide their diagnosis and treatment. This situation appears to be changing: a recently published large randomized, controlled trial by our group comparing biofeedback, electrogalvanic stimulation, and massage for the treatment of chronic proctalgia has shown success rates of 85% for biofeedback when patients are selected based on physical examination evidence of tenderness in response to traction on the levator ani muscle--a physical sign suggestive of striated muscle tension. Excessive tension (spasm) in the striated muscles of the pelvic floor appears to be common to most of the pelvic pain syndromes. This suggests the possibility that similar approaches to diagnostic assessment and treatment may improve outcomes in other pelvic pain disorders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.