Ganglion Impar Block and Neurolysis for Perineal Pain in Anal Adenocarcinoma: A Case Report

Abstract

sides and the posterior vagina/labia minora. The patient was diagnosed with adenomakarsinoma anus and underwent 25 sessions of chemotherapy. Despite taking analgesics such as oral morphine, tramadol, codeine, and paracetamol, the patient's pain persisted with a score of 7-8 on the NRS (Numeric Rating Scale). The patient was scheduled for a ganglion impar block using a neurolytic agent ABSTRACT Background : Anal adenocarcinoma is a rare malignancy with symptoms including tenesmus, rectal bleeding, and pain during defecation. The pain can significantly reduce a patient's quality of life and there is currently no effective treatment for it. Ganglion impar block and neurolytic are one methods for managing pain in such cases. Case : A 60-year-old woman with anal adenocarcinoma and chronic pain in the anal region for two years despite oral medication underwent ganglion impar block and neurolytic treatment using a mixture of 96% alcohol and levobupivacaine 0.25%. Conclusion : Ganglion impar block with neurolysis using 96% alcohol can be an option for managing perineal pain, especially when previous medication therapy is ineffective. This combination is safe for patients and can reduce pain levels.