Essential Anorectal Pain or Idiopathic Perianal Pain

  • M.-C. Marti


Essential anorectal pain is characterized by the absence of any anomaly detectable by endoscopy and radiological examinations [12, 14, 17]. Systematization of the pains and their correlation with the patient’s medical history and clinical examination are difficult. The term “essential anorectal pain” includes five main diseases which sometimes overlap [3, 12, 17] (Table 21.1): (1) proctalgia fugax, (2) coccygodynia, (3) anorectal neuralgia, (4) psychalgia, and (5) pudendal nerve compression.


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  1. 1.
    Abrahams A (1935) Proctalgia fugax. Lancet: ii455CrossRefGoogle Scholar
  2. 2.
    Bensaude A (1965) Proctalgies fugaces. Acta Gastroenterol Belg 28:594–604Google Scholar
  3. 3.
    Boisson J, Debbasch L, Bensaude A (1966) Algies anorectales essentielles. Arch Fr Mal Appar Dig 55:3–24Google Scholar
  4. 4.
    Crenshaw AH (ed) (1971) Campbell’s operative orthopedics. Mosby, St LouisGoogle Scholar
  5. 5.
    Douthwaite AH (1962) Proctalgia fugax. Br Med J 2:164–165PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Ewing MR (1953) Proctalgia fugax. Br Med J 1:1083–1085PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Grant SR, Salvati EP, Rubin RJ (1975) Levator syndrome: an analysis of 316 cases. Dis Colon Rectum 18:161–163PubMedCrossRefGoogle Scholar
  8. 8.
    Labat JJ, Robert R, Bensignor M et al (1990) Les nevralgies du nerf pudendal (honteux interne). Considerations anatomo-cliniques et perspectives therapeutiques. J Urol 5:239–24498Google Scholar
  9. 9.
    Lievre JA, Attali P (1966) La coccygodynie. Arch Fr Mai Appar Dig 55:25–38Google Scholar
  10. 10.
    Lovshin LL (1961) Anorectal symptoms of emotional origin. Dis Colon Rectum 4:399–402PubMedCrossRefGoogle Scholar
  11. 11.
    Maigne JY, Guedj S, Fautrel B (1992) Coccygodynies communes: interet des radiographics dynamiques de profil as-sis-couche du coccyx. Rev Med Ortho 26:36–39Google Scholar
  12. 12.
    Marti M-C (1984) Les algies pelviennes d’origine proctolo-gique. Med Hyg 42:3889–3890Google Scholar
  13. 13.
    McEwin R (1956) Proctalgia fugax. Med J Aust 2:337 340Google Scholar
  14. 14.
    Neill ME, Swash M (1982) Chronic perianal pain: an un solved problem. J R Soc Med 75:96–101PubMedCentralPubMedGoogle Scholar
  15. 15.
    Pilling LF, Pilling LF, Swenson WM, Hill JR (1965) The psychologic aspects of proctalgia fugax. Dis Colon Rectum 8:372–376PubMedCrossRefGoogle Scholar
  16. 16.
    Robert R, Labat JJ, Bensignor M et al (1993) Bases anatomiques de la chirurgie du nerf pudendal. Consequences therapeutiquesdans certaines algies perineales. Lyon Chir 89:183–187Google Scholar
  17. 17.
    Roche B, Marti M-C (1996) Les algies pelviennes d’origine proctologique. Schweiz Med Wochenschr 126:316–321PubMedGoogle Scholar
  18. 18.
    Shafik A (1984) Pelvic double-sphincter control complex. Theory of pelvic organ continence with clinical application. Urology 23:611–618PubMedCrossRefGoogle Scholar
  19. 19.
    Simpson JY (1859) Clinical lectures on the diseases of women. Lecture XVII. On coccygodynia and the diseases and deformities of the coccyx. M Times Gaz 40:1Google Scholar
  20. 20.
    Thaysen EH (1935) Proctalgia fugax. Lancet 11:243–246CrossRefGoogle Scholar
  21. 21.
    Thiele GH (1950) Coccygodynia: mechanism of its production and its relationship to anorectal diseases. Am J Surg 79:110–11PubMedCrossRefGoogle Scholar
  22. 22.
    Thiele GH (1963) Coccygodynia. Dis Colon Rectum 6:422–436CrossRefGoogle Scholar
  23. 23.
    Thompson WG, Heaton KW (1980) Proctalgia fugax. J R Coll Med 14:247–248Google Scholar

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© Springer-Verlag Berlin Heidelberg 1998

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  • M.-C. Marti

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