Descending perineum syndrome
Alerts and Notices
Synopsis

Risk factors include chronic straining with bowel movements, weakening of the tissue due to trauma or childbirth, weakening of the sacral and/or pudendal nerves, prior pelvic floor surgery, and pelvic floor muscle hypotonicity.
Patients may present with difficulty with defecation, outlet obstruction, inability to have complete bowel movements or incomplete bowel movements, deep perineal pain, constipation, rectal bleeding, and/or fecal incontinence. The condition worsens over time.
Codes
ICD10CM:O08.6 – Damage to pelvic organs and tissues following an ectopic and molar pregnancy
SNOMEDCT:
70441009 – Descending Perineum Syndrome
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Rectocele
- Colorectal cancer
- Anal abscess
- Vaginal prolapse
- Anal sphincter spasticity
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Therapy
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References
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Last Reviewed:10/27/2019
Last Updated:10/27/2019
Last Updated:10/27/2019