Therapeutic Strategies for Pruritus Ani: A Comprehensive Review of Etiology-Based Interventions

  • Shaman Wen Tongji Shanxi Hospital,030032,Taiyuan,China
Article ID: 193
Keywords: Pruritus ani; Therapeutic interventions; Etiology-based treatment; Perianal care; Clinical management

Abstract

Pruritus ani, deffned as intractable itching in the perianal region, is a common and distressing clinical condition that severely impacts patients’ quality of life. Its etiology is complex and multifaceted, involving local skin barrier dysfunction, infections, systemic diseases, pharmacological factors, and lifestyle-related triggers. This paper systematically reviews the therapeutic strategies for pruritus ani, focusing on etiology-based interventions to provide evidence-based guidance for clinical practice. The study ffrst clariffes the classiffcation and key etiological factors of pruritus ani, then elaborates on core therapeutic measures including basic perianal care, topical pharmacological treatments, systemic medications, and physical/surgical interventions. It emphasizes that accurate etiological diagnosis is the prerequisite for effective treatment, and basic care should be implemented throughout the therapeutic process.

References

[1]Zhang L ,Yang J ,Wang Q , et al. Local excision of perianal skin for pruritus ani: a case report.[J].Journal of surgical case reports,2025,2025(8):rjaf664.
[2]W J ,Q L ,J N , et al. Efficacy and safety of methylene blue injection for intractable idiopathic pruritus ani: a single-arm metaanalysis and systematic review.[J].Techniques in coloproctology,2023,27(10):813-825.
[3]Wu F F,ShaJ.Therapeutic Effect of Integrated Traditional Chinese and Western Medicine on Anal Pruritus After Anorectal Surgery[J].Proceedings of Anticancer Research,2023,7(1):05.
[4]EAO,XavierD.Idiopathic Pruritus Ani and Acute Perianal Dermatitis.[J].Clinics in colon and rectal surgery,2019,32(5):327-332.
Published
2026-01-03
Section
Articles