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Related Experiment Videos

Perineal pain: a case report.

M Hellendoorn-Smit1, J Overweg-van Kints

  • 1Department of Anaesthesiology/Pain Management Unit, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|April 1, 1988
PubMed
Summary

Intractable perineal pain from pelvic cancer can be challenging. This case study shows repeated intrathecal neurolytic blocks effectively managed pain from recurrent rectal carcinoma when systemic narcotics failed.

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Area of Science:

  • Oncology
  • Pain Management
  • Neurology

Background:

  • Pelvic cancers, including rectal carcinoma, can cause severe perineal pain.
  • Systemic narcotic analgesics frequently offer insufficient pain relief for advanced cancer patients.
  • Managing intractable cancer-related pain remains a significant clinical challenge.

Observation:

  • A patient presented with refractory perineal pain secondary to recurrent rectal carcinoma.
  • Previous treatments with systemic narcotics provided only partial pain alleviation.
  • The patient underwent repeated intrathecal neurolytic blocks for pain management.

Findings:

  • Repeated intrathecal neurolytic blocks resulted in successful management of the patient's perineal pain.
  • This intervention offered a viable alternative for pain control in a difficult-to-treat case.

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  • The neurolytic block procedure demonstrated efficacy in alleviating severe, cancer-induced perineal pain.

    • Implications:

    • Intrathecal neurolytic blocks represent a potent therapeutic option for refractory cancer pain in the pelvic region.
    • This approach may improve quality of life for patients with advanced pelvic malignancies.
    • Further research into neurolytic block techniques could optimize cancer pain management strategies.