जब बायोफीडबैक क्रोनिक रेक्टल दर्द से राहत देने में विफल हो — आगे क्या करें

References

• Diagnostic criteria for primary chronic anal pain syndrome (chronic proctalgia) according to the Rome IV criteria are as follows and must include all of the following: chronic or recurrent rectal pain or aching; episodes last at least 30 minutes; and exclusion of other causes of rectal pain, such as ischaemia, inflammatory bowel disease, cryptitis, intramuscular abscess and fissure, haemorrhoids, prostatitis and coccyx pain syndrome.
• Primary chronic anal pain syndrome includes the above diagnostic criteria and exhibits exquisite tenderness during posterior traction on the puborectalis muscle.
• Offer percutaneous tibial nerve stimulation in chronic primary anal pain syndrome.
• Offer sacral neuromodulation in chronic primary anal pain syndrome.
• Percutaneous tibial nerve stimulation is effective in anal pain.
• Sacral neuromodulation is effective in anal pain.