Abstract：
Chronic pelvic pain is a hidden issue which needs to involve many different usually uncoordinated specialists. For this reason there is a risk that treatments, in the absence of well-defined pathways, common goals, and terminology, may be poorly effective. The aim of the present paper is to summarize the evidence on anorectal pelvic pain, offering useful evidence-based practice parameters for colorectal surgeons\' daily activity. Analysis of chronic anorectal and pelvic pain syndromes, the diagnostic and clinical optimal needs for evaluation, and the innumerable low evidence treatments and therapeutic options currently available suggests that a multimodal individualized management of pain may be the most promising approach. The limited availability of dedicated centers still negatively affects the applicability of these principles.
摘要：
慢性盆腔疼痛是一个隐藏的问题，需要涉及许多不同的通常不协调的专家。因此，治疗存在风险，在没有明确定义的途径的情况下，共同目标,和术语，可能效果不佳。本文的目的是总结肛门直肠盆腔疼痛的证据，为结直肠外科医生的日常活动提供有用的循证实践参数。慢性肛肠及盆腔疼痛综合征分析,诊断和临床最佳评估需求，目前可获得的大量低证据治疗和治疗方案表明，多模式个体化疼痛管理可能是最有希望的方法。专用中心的有限可用性仍然对这些原则的适用性产生负面影响。
