ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences
Descending perineum syndrome
Print
Other Resources UpToDate PubMed

Descending perineum syndrome

Print Images (1)
Contributors: Mitchell Linder MD
Other Resources UpToDate PubMed

Alerts and Notices

Synopsis

Descending perineum syndrome : Rectal pain, Fecal incontinence, Painful defecation, Tenesmus
Descending perineum syndrome is a rare condition in which the perineal body has become weakened to the point that it can sag beyond 4 cm below the bony pelvis during the Valsalva maneuver. The constipation caused by this laxity often requires digital manipulation in order for the patient to have a complete bowel movement.

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

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:10/27/2019
Last Updated:10/27/2019
Copyright © 2022 VisualDx®. All rights reserved.
Descending perineum syndrome
Print  
Descending perineum syndrome : Rectal pain, Fecal incontinence, Painful defecation, Tenesmus
Copyright © 2022 VisualDx®. All rights reserved.