@article {2328, title = {Ganglion Impar Block and Neurolysis for Perineal Pain in Anal Adenocarcinoma: A Case Report }, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {711-715}, type = {Case Report}, chapter = {711}, 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{\textquoteright}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.

}, keywords = {Impar Ganglion Block; Neurolysis; 96\% Alcohol; Anal adenocarcinoma; Perineal pain; Pain management.}, doi = {10.5530/pj.2024.16.120}, author = {Asmaranto and Dedi Susila} }