Perivascular nerve fibre proliferation: the consequence of prolonged straining

M J Quinn
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2007 · vol. 27(2) , pp. 185–188 · doi:10.1080/01443610601124521 · PMID:17454472 · W2170432536
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Prolonged straining during defecation was associated with perivascular nerve fiber proliferation in pelvic organs in four clinical cases.

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Abstract

Four clinical cases are described in which a history of straining to achieve defaecation over many years, was associated with prolonged pelvic pain and the neuro-immunohistochemical observation of perivascular nerve fibre proliferation (PVNFP). Specimens of uterus, vagina, vulva and bladder have all demonstrated this novel histological feature. In three of the four cases, treatment with gonadotrophin releasing hormone agonists was associated with temporary improvement of the pain.

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MeSH descriptors

Constipation Defecation Nerve Fibers Pelvic Pain Chronic Disease Constipation Female Humans Middle Aged Nerve Fibers Pelvic Pain Pelvic Pain

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