01457nas a2200157 4500008004100000245009700041210006900138260001400207300001200221490000700233520089300240653010401133100000501237700001701242856004001259 2024 eng d00aGanglion Impar Block and Neurolysis for Perineal Pain in Anal Adenocarcinoma: A Case Report 0 aGanglion Impar Block and Neurolysis for Perineal Pain in Anal Ad cJune 2024 a711-7150 v163 a

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.

10aImpar Ganglion Block; Neurolysis; 96% Alcohol; Anal adenocarcinoma; Perineal pain; Pain management.1 a1 aSusila, Dedi uhttps://www.phcogj.com/article/2328