Chronic Pelvic and Perineal Pain

Chronic perineal pain is a common condition in patients suffering from pelvic floor disorders. Their management remains challenging and usually requires a long follow-up period and several therapeutic approaches to alleviate the symptoms. The first step is to make sure no organic lesions underlie this situation; imaging is mandatory to avoid any tumor or inflammatory disorder. In a second step, patients’ history and the characteristics of the pain must be precisely defined to offer appropriate therapeutic options. Finally, treatment should be adapted and carefully supervised for a long time to improve the situation.