Proctalgia Fugax from the Perspective of a Gastroenterologist-Coloproctologist. The First Thematic Literature Review in Russia.

Lomonosov A. L.
MD, PhD, Assistant Professor, Chair for Hospital Surgery¹

Lomonosov D. A.
MD, PhD, Assistant Professor, Chair for Hospital Surgery¹

Abdullaeva D. F.
6th Year Student, Medical Faculty¹

Voevodina V. A.
6th Year Student, Medical Faculty¹

Frolov A. S.
6th Year Student, Medical Faculty¹

1 - Tver State Medical University, Tver, Russian Federation

Lomonosov Andrey Lotovich; e-mail: lotlom@yandex.ru.

None declared.

The study had no sponsorship.

The prevalence of Proctalgia fugax (PF) in the population ranges from 4 to 18%, with functional PF (FPF) occurring in 5,6% of cases. It is necessary to identify FPF using the MDCalc medical calculator, questionnaires. The coloproctologist should exclude non-functional proctalgia (NPF) and functional PF (FPF), coccygodynia, organic diseases of the pelvic organs. Patients with NPF, NPF, coccygodynia should be examined and treated by doctors of narrow specialties. Treatment of patients with NPF in combination with puborectal nerve neuritis (PRNN), changes in the spine, bone structures and pelvic organs should be carried out by narrow specialists (neurologist, neurosurgeon, orthopedist, gynecologist, urologist). The most common cause of FPF is intraanal sphincter hypertrophy (IASH), which is treated by relaxing the IAS. Treatment of patients with FPF in combination with irritable bowel syndrome (IBS) should be carried out in accordance with the Roman Criteria 4 (RC4). A psychogastroenterologist should conduct research and treatment of patients with PF and with mental health disorders. The study and treatment of patients with PF of unclear etiology should be carried out after a consultation of doctors based on the modern concept of functional gastrointestinal disorders (FGR) – violations of the brain-intestine relationship and the use of an algorithm.

Proctalgia fugax, etiology, diagnosis, treatment, algorithm

10.29234/2308-9113-2022-10-2-93-110

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