title: [Symptom analysis of 537 patients with neurogenic intrapelvic syndrome].
abstract: OBJECTIVE
  To characterize the symptoms of neurogenic intrapelvic syndrome and the pathogenic mechanisms.
  
  
  METHODS
  A total of 537 patients with neurogenic intrapelvic syndrome were treated in the Takano Hospital between 2001 and 2005. Clinical data were analyzed retrospectively.
  
  
  RESULTS
  The mean age was 58.5 years old. There were 205 males and 332 females. There were 80 patients(14.9%) who presented with only one symptom with anorectal pain being the most common one (43.8%, 35/80). One hundred and fifty-six(29.1%) patients had two symptoms with anorectal pain and difficult evacuation being the most common combination (26.3%, 41/156). There were 144 patients (26.8%) complained of 3 symptoms and the most common combination was anorectal pain, difficult evacuation, and abdominal discomfort (30.0%, 43/144). A combination of 4 symptoms was reported in 105 patients(19.6%) with the combination of anorectal pain, incontinence, abdominal discomfort, and lumbar discomfort being the most often(65.7%, 69/105). In addition, there were 52 patients(9.7%) who had above 5 symptoms simultaneously. The frequencies of the 5 symptoms were 73.6% for anorectal pain, 27.9% for incontinence, 69.6% for difficult evacuation, 55.3% for abdominal discomfort, and 53.6% for lumbar discomfort.
  
  
  CONCLUSIONS
  Symptomatology of neurogenic intrapelvic syndrome is complicated. The pathogenic mechanism may be related to concurrent dysfunction of sacral nerve and pelvic splanchnic nerve.
authors.affiliation: Coloproctology Center, Takano Hospital, Kumamoto 8620924, Japan. m-takano@takano-hospital.jp
authors.forename: Takano
authors.initials: T
authors.lastname: Masahiro
authors.forename: Ogata
authors.initials: O
authors.lastname: Shunji
authors.forename: Nozaki
authors.initials: N
authors.lastname: Ryoichi
authors.forename: Hisano
authors.initials: H
authors.lastname: Saburo
authors.forename: Saiki
authors.initials: S
authors.lastname: Yasumitsu
authors.forename: Fukunaga
authors.initials: F
authors.lastname: Mitsuko
authors.forename: Takano
authors.initials: T
authors.lastname: Shota
authors.forename: Tanaka
authors.initials: T
authors.lastname: Masafumi
authors.forename: Magata
authors.initials: M
authors.lastname: Shinichiro
authors.forename: Nakamura
authors.initials: N
authors.lastname: Yasushi
authors.forename: Sakata
authors.initials: S
authors.lastname: Gentaro
authors.forename: Yamada
authors.initials: Y
authors.lastname: Kazutaka
mesh_terms: D004688:Encopresis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology; D012189:Retrospective Studies; D013577:Syndrome