Descending perineum syndrome
The syndrome is anatomically correlated to over-descending of the perineal organs below the bony pelvis during straining maneuvers. Chronic excessive straining during defecation is thought to cause loss of pelvic floor muscle tone, which results in perineal descent. Descending perineum syndrome primarily occurs in women.
Treatment largely focuses on reducing excessive straining. Stool softeners, stool bulking agents, and physical therapy have all been used. Surgical options to reduce pelvic organ prolapse are also available.
O08.6 – Damage to pelvic organs and tissues following an ectopic and molar pregnancy
70441009 – Descending Perineum Syndrome
- Uterine leiomyoma (fibroids)
- Endometriosis / adenomyosis
- Malignancy (particularly uterine, ovarian, colon, rectal)
- Pelvic floor dysfunction
- Irritable bowel syndrome
- Pelvic adhesions
- Uterine prolapse
- Autonomic neuropathy
- Drug-induced constipation (opiates, iron, anticholinergics)
- Intestinal pseudo-obstruction