Pain Cancer, Pain, Chronic
Conditions
Keywords
pelvic cancer pain, superior hypogastric plexus block, pulsed radiofrequency
Brief summary
The investigators hypothesis that adding pulsed radiofrequency neuromodulation at S3 nerve root to superior hypogastric plexus chemical neurolysis improves analgesia in patients with chronic pelvic cancer pain.
Interventions
superior hypogastric plexus chemical neurolysis
pulsed radiofrequency neuromodulation at S3 root plus superior hypogastric plexus chemical neurolysis
Sponsors
Study design
Masking description
double-blinded
Eligibility
Inclusion criteria
* pelvic cancer patients * with pelvic pain not responding to oral analgesic medications * side effects of oral analgesic medications
Exclusion criteria
* patients with metastatic cancer disease * patients with significantly impaired organ functions * patients with bleeding diathesis * patients with mental disabilities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | from 30 min. after procedure to 2 months after it | Visual Analogue Scale post-procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complications | during the block procedure and within the first 24 hours after the block | including transient paresthesia, rectal puncture, vascular penetration of one of the pelvic vessels, hematoma, infection, dural puncture, bowel/bladder dysfunction, pain on injection, hypotension from the sympathetic block or any other complication |
| procedure time | during the block procedure | The time required to perform the block |
| Total oral analgesic consumption | in the first 24 hours after procedures and at 1,2,4 weeks and 2 months visits after it | total MST consumption |