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Evidence for a new classification of anal-retentiveness: torpid posteriosus and retro-pudendal hesitancy.

The introduction of ICD-10 has led to considerable debate over the proper diagnosis and treatment of retro-pudendal hesitancy (RPH). Many feel that the diagnosis should apply to all those with anal-retentiveness (AR). However, the authors discovered new clinical and laboratory evidence showing that AR is but one type of RPH. As such, they propose a reclassification of AR as type I RPH, a condition involving the superior pudendal-geniculate nucleus (SPGN). In contrast, type II RPH--another lesion of the SPGN--produces the characteristic torpid posteriosus (TP).