| Abstrakt: |
Background: Proctalgia fugax is a benign, self-limiting disease characterized by episodes of intense anorectal pain at frequent intervals in the absence of organic proctological disease.lhe aim of this study was to investigate patients of this condition and to treat them with sequential ther-apv. Material and Method: Author examined 46 patients with acute perianal pain-duration less than 30 minutes -without organic disease or previous perianal surgery since 2006 to 2015 in his Department. Author tretaed these patients using a three-step treatment: first step: hip bath, and benzodiazepines, second step: anal dilation, third step: internal lateral sphincterotomy if hypertrophy of the internal anal sphincter was demonstrated by endoanal ultra-sonography (EUS) and no improvement was confirmed with the previous steps of treatment. Results: 46 patients with an average follow-up of 6 years. EUS confirmed a grossly thickened internal anal sphincter in 12 cases. After the first step of our sequential treatment 23 pati-ents improved and 2 patients cured, after the second step of treatment 12 patients had remarcable improvement and 3 patients cured and after the third step of treatment 8 patients had remarcable improvement and 3 patients cured. Conclusion: A total resolution of Proctalgia fugax is not possible, but we may improve symptoms and their frequency. EUS can help in the diagnosis of organic diseases or internal anal sphincter hypertrophy, for which we can perform an internal anal sphnicterotomy. [ABSTRACT FROM AUTHOR] |
