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Descending perineum syndrome
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Descending perineum syndrome

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Contributors: Benjamin L. Mazer MD, MBA
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Synopsis

Descending perineum syndrome is a rare pelvic floor disorder that clinically presents with straining to defecate, fecal incontinence, and constipation. Patients variably display deep perineal pain, vaginal prolapse, cystocele, or stress incontinence.

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.

Codes

ICD10CM:
O08.6 – Damage to pelvic organs and tissues following an ectopic and molar pregnancy

SNOMEDCT:
70441009 – Descending Perineum Syndrome

Differential Diagnosis & Pitfalls

Best Tests

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Last Updated: 12/05/2017
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Descending perineum syndrome
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Descending perineum syndrome : Constipation, Rectal pain, Painful defecation, Tenesmus
Copyright © 2019 VisualDx®. All rights reserved.