{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T09:52:10Z","timestamp":1784713930314,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,8,17]],"date-time":"2011-08-17T00:00:00Z","timestamp":1313539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Chronic idiopathic perineal pain is poorly understood. Underlying structural abnormalities have been clinically suspected but rarely demonstrated objectively. The condition has been frequently considered to be a psychological disorder. We aimed to evaluate how commonly a structural explanation for such pain symptoms is present.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Patients seen in a pelvic floor clinic with severe chronic functional anorectal pain that was classified as chronic idiopathic perineal pain (study group) were prospectively registered in a pelvic floor database and underwent pelvic floor work up (defaecating proctography, anorectal physiology and anal ultrasound\u2003+\/\u2010\u2003 rectal examination under anaesthetic). A control group was formed by patients with obstructed defaecation, with or without faecal incontinence, with advanced posterior compartment prolapse.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Of 59 patients with chronic idiopathic perineal pain [80% women; mean age 53 (range, 22\u201384) years], representing 5% of all pelvic floor presentations, 33 (56%) had chronic idiopathic perineal pain alone and 26 (44%) had chronic idiopathic perineal pain with obstructed defaecation. Thirty\u2010five (59%) had an underlying high\u2010grade internal rectal prolapse (73% with chronic idiopathic perineal pain\u2003+\u2003obstructed defaecation <jats:italic>vs<\/jats:italic> 48% with chronic idiopathic perineal pain alone; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05). Anorectal pain was present in 50% of 543 controls with advanced posterior compartment prolapse.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> High\u2010grade internal rectal prolapse commonly underlies chronic idiopathic perineal pain, particularly when obstructed defaecation is present. Chronic anorectal pain is a common, under\u2010recognized subsidiary symptom in patients with advanced posterior compartment prolapse presenting primarily with obstructed defaecation or faecal incontinence.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2010.02422.x","type":"journal-article","created":{"date-parts":[[2010,9,22]],"date-time":"2010-09-22T20:29:42Z","timestamp":1285187382000},"page":"1035-1039","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["What causes chronic idiopathic perineal pain?"],"prefix":"10.1111","volume":"13","author":[{"given":"R.","family":"Hompes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. M.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Lindsey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,8,17]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237201"},{"key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1177\/014107688207500205","article-title":"Chronic perianal pain: an unsolved problem","volume":"75","author":"Neil ME","year":"1982","journal-title":"J R Soc Med"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234562"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02051169"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.11.064"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02048360"},{"key":"e_1_2_5_8_2","doi-asserted-by":"crossref","first-page":"S114","DOI":"10.14309\/00000434-200410001-00352","article-title":"Effects of Botox on levator ani syndrome: a doubled blind, placebo controlled crossover study","volume":"99","author":"Rao SC","year":"2004","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_5_9_2","first-page":"682","volume-title":"Practical Management of Pain","author":"Prithvi PR","year":"1986"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.30.12.1737"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02055439"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.03615.x"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02049.x"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02024.x"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170087"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01604-7"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.rhu.0000158686.43637.af"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2010.02422.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2010.02422.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T08:49:42Z","timestamp":1743929382000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2010.02422.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,17]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1111\/j.1463-1318.2010.02422.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2010.02422.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,17]]},"assertion":[{"value":"2011-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}