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

@article{Parades2007ProctalgiaFD,
  title={Proctalgia Fugax: Demographic and Clinical Characteristics. What Every Doctor Should Know from a Prospective Study of 54 Patients},
  author={Vincent de Parades and Isabelle Etienney and Pierre Bauer and Milad Taouk and Patrick Atienza},
  journal={Diseases of the Colon \& Rectum},
  year={2007},
  volume={50},
  pages={893-898}
}
PurposeThis prospective study was designed to describe a typical attack of proctalgia fugax.MethodsPatients were recruited from May 2003 to June 2004. Whatever the reason for consultation, they were systematically asked: “Do you ever suffer intermittent and recurring anorectal pain lasting for at least three seconds?” If the answer was yes, they were interviewed with a questionnaire and had a proctologic examination. The criterion for proctalgia fugax was a positive answer with a negative… 

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.

[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 Syndromes: Update in Diagnosis and Management

TLDR
A number of therapies to relax the pelvic floor may be employed to improve symptoms in functional anorectal pain syndromes; however, only biofeedback to improve defaecatory dynamics in patients with levator ani syndrome has proven effectiveness in a randomized setting.

Proctalgia and Other Anorectal Pain Syndromes

[Anorectal disorders].

TLDR
Criteria is defined, epidemiology, pathophysiology, and management of the following common anorectal disorders are reviewed, and biofeedback therapy is effective for treating levator ani syndrome and defecatory disorders.

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.

Evaluation and management of common anorectal conditions.

TLDR
The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking, and physicians must maintain a high index of suspicion for inflammatory and malignant disorders.

[Irritable bowel syndrome, levator ani syndrome, proctalgia fugax and chronic pelvic and perineal pain].

  • A. WatierJ. RigaudJ. Labat
  • Medicine
    Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
  • 2010

Proctalgia Fugax, Levator Spasm, and Pelvic Pain: Evaluation and Differential Diagnosis

TLDR
This chapter aims to outline the approach to the patient and to describe the broad differential of both acute and chronic causes of anorectal and pelvic pain.

Common anorectal disorders: Diagnosis and treatment

TLDR
An update on the evaluation and treatment of common anorectal disorders, which include fecal incontinence, pelvic floor dyssynergia, anal fissures, pruritus ani, proctalgia fugax, and solitary rectal ulcer syndrome is provided.

References

SHOWING 1-10 OF 20 REFERENCES

Sequential treatment for proctalgia fugax. Mid-term follow-up.

TLDR
A total resolution of PF is not always possible, but it may improve symptoms and their frequency, and anal endosonography can help in the diagnosis of organic diseases or IAS hypertrophy.

Proctalgia Fugax: Caused By Pudendal Neuropathy?

  • M. Takano
  • Medicine
    Diseases of the colon and rectum
  • 2005
TLDR
The location, character, and degree of pain caused by digital examination were confirmed by all of them to be similar to that which they experience at times of paroxysm and suggest that the pathogenesis of proctalgia fugax is neuralgia of the pudendal nerves.

Proctalgia fugax in patients with the irritable bowel, peptic ulcer, or inflammatory bowel disease.

TLDR
Proctalgia fugax is very common among patients with abdominal symptoms, but is not related to the IBS, and since it is infrequent, benign, and transient, PF is usually not mentioned to the physician.

Proctalgia fugax in patients with the irritable bowel, peptic ulcer, or inflammatory bowel disease.

  • W. Thompson
  • Medicine
    The American journal of gastroenterology
  • 1984
TLDR
Proctalgia fugax is very common among patients with abdominal symptoms, but is not related to the IBS, and since it is infrequent, benign, and transient, PF is usually not mentioned to the physician.

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.

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.

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

Functional bowel and anorectal disorders in patients with pelvic organ prolapse and incontinence.

Functional anorectal disorders.

TLDR
Functional fecal incontinence is a common, but underrecognized symptom, which is equally prevalent in men and women, and can often cause considerable distress, and the clinical features are useful for guiding diagnostic testing and therapy.

The Functional Gastrointestinal Disorders: Diagnosis, Pathophysiology, and Treatment : A Multinational Consensus

TLDR
This book presents a single source of standardized definitions, diagnostic criteria and treatment recommendations forFunctional gastrointestinal disorders, which should no longer need to make a diagnosis of exclusion.