title: Chronic perineal pain and lower urinary tract dysfunction--a clinical feature of the "Gulf War syndrome"?
abstract: A Persian Gulf War veteran presented to the University Neuro-Urology service for management of severe chronic perineal pain. The overall physical and neurological exam was unremarkable. However, the rectal exam and the urodynamic study revealed a severe pelvic floor dysfunction. A neuro-behavioral approach is recommended and discussed.
authors.affiliation: Department of Urology, University Hospital, Friedrich-Schiller-University Jena, Germany. dh.zermann@med.uni-jena.de
authors.forename: D H
authors.initials: DH
authors.lastname: Zermann
authors.forename: M
authors.initials: M
authors.lastname: Ishigooka
authors.forename: R
authors.initials: R
authors.lastname: Doggweiler-Wiygul
authors.forename: R A
authors.initials: RA
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D006801:Humans; D008889:Military Personnel / Q000523:psychology; D017773:Pelvic Floor / Q000294:innervation; D017699:Pelvic Pain / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D018923:Persian Gulf Syndrome / Q000503:physiopathology*; D014555:Urination Disorders / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014563:Urodynamics