Chronic perineal pain and lower urinary tract dysfunction--a clinical feature of the "Gulf War syndrome"?
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.
Zermann
D H
DH
Department of Urology, University Hospital, Friedrich-Schiller-University Jena, Germany. dh.zermann@med.uni-jena.de
Ishigooka
M
M
Doggweiler-Wiygul
R
R
Schmidt
R A
RA
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