Research Article

Evaluation of Impar Ganglion Block Effectivity in the Management of Chronic Perineal Pain

10.4274/atfm.galenos.2021.21548

  • Dostali Aliyev
  • Ümit Akkemik
  • Güngör Enver Özgencil
  • İbrahim Aşık

Received Date: 23.02.2021 Accepted Date: 22.09.2021 J Ankara Univ Fac Med 2022;75(1):107-112

Objectives:

Chronic pain is a cause that negatively affects the quality of life and functional capacity. As with most chronic pain syndromes, perineal (pelvic) chronic pain requires a multimodal approach. Ganglion impar blockage and neurolysis may be effective in cases that do not respond to conservative treatments. In this study, we retrospectively evaluated the effect of ganglion impar block in patients with chronic perineal pain.

Materials and Methods:

Thirty patients with chronic perineal pain (duration of pain >6 months), who underwent ganglion impar block under fluoroscopy, were evaluated retrospectively. Neurolysis was performed after diagnostic block in 5 patients with chronic perineal pain associated with pelvic cancer.

Results:

The average age of the patients was 48.6±14.6 (28-75) years, 63.3% (19) were female, 36.7% (11) were male. Significant differences were observed in visual analogue scale and oswestry disability index values before and after the procedure (p<0.05).

Conclusion:

Ganglion impar blockade should be considered as an effective treatment option in the treatment of chronic perineal pain.

Keywords: Pelvic Pain, Nerve Block, Pain Management, Chemical Neurolysis, Fluoroscopy

Full Text (Turkish)