[Diagnostic algorithms for chronic pelvic and perineal pain: from symptoms to syndromes]

Abstract

Introduction: Patients with chronic pelvic and perineal pain often report diffuse, poorly systematized symptoms and the aetiological work-up can often be difficult. The purpose of this article is to propose a series of diagnostic algorithms to facilitate the aetiological work-up of chronic pelvic and perineal pain.

Material and methods: A review of the literature was performed by searching PubMed for articles on chronic pelvic and perineal pain. Diagnostic algorithms were established by starting with symptoms to define syndromes.

Results: Algorithms were established for the various types of chronic pain: perineal pain, bladder pain, epididymotesticular pain, urethral pain, vulvar pain, inguinal pain, male dyspareunia, female dyspareunia and diffuse pelvic and perineal pain. A clinical assessment and complementary investigations were proposed for each algorithm to establish an aetiological diagnosis.

Conclusion: The proposed algorithms are designed to be a clinical aid and do not constitute a comprehensive diagnostic approach to chronic pelvic and perineal pain.