Proctalgia Fugax: Caused By Pudendal Neuropathy?

@article{Takano2005ProctalgiaFC,
  title={Proctalgia Fugax: Caused By Pudendal Neuropathy?},
  author={Masahiro Takano},
  journal={Diseases of the Colon \& Rectum},
  year={2005},
  volume={48},
  pages={114-120}
}
  • M. Takano
  • Published 2005
  • Medicine
  • Diseases of the Colon & Rectum
There is a strange disease called proctalgia fugax in which rather uncomfortable pain appears suddenly mostly at night without any particular warning and disappears completely without any objective traces. It also is categorized as a functional anorectal pain under the Rome II (diagnostic criteria for the functional gastrointestinal disorders). For the causes, many theories have been advocated but not decisive and therefore were not linked to the definite treatment. The author experienced 68… 

[Evidence of pudendal neuropathy in Proctalgia Fugax: perineal neurophysiological assessment in 55 patients].

  • M. DamphousseM. Jousse G. Amarenco
  • Medicine
    Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
  • 2012

Proctalgia and Other Anorectal Pain Syndromes

Proctalgia Fugax: Demographic and Clinical Characteristics. What Every Doctor Should Know from a Prospective Study of 54 Patients

TLDR
Proctalgia fugax affects twice as many females as males at approximately aged 50 years, and commonly the roughly once-monthly attack occurs as a sudden pain with no trigger factor, diurnally as often as nocturnally.

Anorectal motor disorders.

Proctalgia fugax, an evidence-based management pathway

TLDR
It is suggested that diagnosis should be made through exclusion of common organic causes such as haemorrhoids, anal fissure or anorectal carcinoma and on the fulfilment of Rome III criteria and the main treatment remains reassurance and topical treatment.

LEECH APPLICATION IN CASES OF PROCTALGIA FUGAX W.S.R. TO GUDAARTI - A CLINICAL STUDY

TLDR
It can be concluded that leech application can be an option for Proctalgia fugax patients with recurring attacks of distressing rectal pain with no positive local findings in the rectum or in anal canal.

Chronic proctalgia and chronic pelvic pain syndromes: new etiologic insights and treatment options.

TLDR
Excessive tension (spasm) in the striated muscles of the pelvic floor appears to be common to most of the vaginal pain syndromes, suggesting the possibility that similar approaches to diagnostic assessment and treatment may improve outcomes in other pelvic pain disorders.

Dor posterior baixa e dor pélvica: o que interessa ao proctologista?

TLDR
For the emergence frequency and for its relationship with the pelvic organs, the pelvic pain and the low back pain can be considered a multifaceted problem, with investigation requiring a multidisciplinary approach involving professionals of several areas, so they should be of the obligatory interest of the proctologist.

Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria)

TLDR
Criteria that can help to the diagnosis of pudendal neuralgia by pUDendal nerve entrapment syndrome are defined.

Introduction, Definitions, and Clinical Importance of Postoperative Ileus

TLDR
There have been significant efforts to minimize the period during which bowel function ceases, deemed postoperaive ileus (POI), as there appears to be no associated physioogical benefit, and because POI delays a patient’s recovery fter surgery and is a major factor in delaying time to disharge from the hospital.

References

SHOWING 1-10 OF 35 REFERENCES

Proctalgia fugax.

Proctaglia fugax is a sudden severe pain in the rectum lasting a few seconds or minutes. It seems to occur in about 14% of apparently healthy adults, and there is some evidence that it is associated

The psychologic aspects of proctalgia fugax

TLDR
Since this first description, more than 80 years ago, numerous etiologic factors have been suggested and characteristics of the personalities of the patients with proctalgia fugax have been described.

Anorectal function and morphology in patients with sporadic proctalgia fugax

TLDR
In the resting state, patients with proctalgia fugax have normal anorectal function and morphology, however, they may exhibit a motor abnormality of the anal smooth muscle during an acute attack.

Rectal pain of extrarectal origin

TLDR
The levator spasm syndrome, coccygodynia, and chronic prostatitis are disorders which frequently may cause rectal pain and digital examination should include all pelvic structures within reach of the finger.

Treatment of proctalgia fugax with botulinum A toxin

TLDR
Botulinum A toxin seems to be a promising treatment for patients with proctalgia fugax, and further trials appear to be worthwhile for this condition, which has been described as incurable.

The Irritable Gut

TLDR
The irritable gut is what is left when no organic explanation for gut symptoms can be found and the aim in diagnosis is to identify or exclude pathology.

COLONIC MOTILITY IN PROCTALGIA FUGAX

Functional disorders of the anus and rectum

TLDR
The epidemiology of each functional anorectal disorders is defined and discussed, their pathophysiology is summarized and diagnostic approaches and treatment are suggested.

COCCYGODYNIA AND PAIN IN THE SUPERIOR GLUTEAL REGION: AND DOWN THE BACK OF THE THIGH: CAUSATION BY TONIC SPASM OF THE LEVATOR ANI, COCCYGEUS AND PIRIFORMIS MUSCLES AND RELIEF BY MASSAGE OF THESE MUSCLES

TLDR
Careful search of the literature appearing since 1859 fails to reveal a concept of coccygodynia which can harmonize the many forms of therapy which have been advised and too often coccygectomy has resulted only in chagrin for the surgeon and disappointment for the patient.

The spastic pelvic floor syndrome

TLDR
Persistent contraction of the pelvic floor muscles, for which the name “spastic pelvic floor syndrome” is proposed, represents a functional disorder of normal pelvicfloor muscles, causing a functional outlet obstruction.