[Treatment algorithms for the management of chronic pelvic and perineal pain: from syndrome to treatment].

BACKGROUND

The treatment of patients with chronic pelvic and perineal pain is often complex and involves a number of different parameters. The purpose of this article is to propose a series of treatment algorithms to facilitate the therapeutic management of patients with chronic pelvic and perineal pain.

METHODS

A review of the literature was performed by searching Pubmed for articles on treatment of chronic pelvic and perineal pain. Treatment algorithms were established for each type of pain syndrome.

RESULTS

Treatment algorithms were defined for the various types of chronic pain syndrome: pudendal nerve entrapment syndrome, chronic pelvic pain syndrome, painful bladder syndrome, vulvar pain syndrome, epididymotesticular pain syndrome, complex pelvic pain syndrome. Therapeutic management is proposed for each algorithm.

CONCLUSIONS

The proposed algorithms are designed to be a clinical aid and do not constitute a comprehensive approach to the management of patients with chronic pelvic and perineal pain.