Under a Levatorsyndrom is meant an episodic pain in the rectum, which is caused by a spasm of the levator ani muscle.
(See also Clarification of Anorektalkrankheiten.)
Under a Levatorsyndrom is meant an episodic pain in the rectum, which is caused by a spasm of the levator ani muscle. (See also the clarification of Anorektalkrankheiten.) The proctalgia fugax (volatile pain in the rectum) and the Kokzydynie (pain in the Kokzydialregion) are variants of Levatorsyndroms. Rektalspasmen cause pain that typically occur regardless of the defecation and stop usually less than 20 minutes. The character of the pain can be felt short and intense or too vague and high in the rectum. It can occur spontaneously or in a sitting position and can wake the patient during sleep. The patient may feel that the pain is alleviated by disposal of air or bowel movements. In severe cases, there is a several hours lasting and often recurrent pain. The patient may have a history of suffering from numerous inefficient operations. Diagnosis Clinical Evaluation The investigation should other painful findings in the rectum to exclude (eg. As thrombosed hemorrhoids, fissures and abscesses). Often the physical examination appears normal, although some tenderness and induration of the levator muscle, can usually insist on the left. Individual cases are caused by pain in the back or prostate diseases. Other causes of pelvic pain (eg., Cancer) must be excluded. In most cases, a clear cause of the levator syndrome can not be identified. Therapy analgesics, sitz baths Occasionally electro-galvanic stimulation Treatment of Levatorsyndroms is to inform the patient about the fundamentally benign nature of these complaints. An acute episode of pain can be alleviated by air outlet or bowel movement, by a Sitz bath or mild analgesics. For more intense symptoms, a physical therapy can be effective. Skeletal muscle relaxants or Analsphinktermassage can be tried under local or regional anesthesia, but their success is doubtful.