Management Modalities of Chronic Pelvic Pain

Zagazig University

Status: Active, not recruiting

Conditions: Pain, Chronic

Treatments: Procedure: Laparoscopic Presacral Neurectomy; Procedure: Fluoroscopically guided Superior Hypogastric Plexus Neurolysis

Study type: Interventional

Funder types: Other

Identifiers

NCT06719635

Pelvic Pain Management

Details and patient eligibility

About

Chronic pelvic pain remains a challenging disorder to treat because of the complexities of pain sensation and unclear etiology. Standard medical and surgical treatments seldom prove effective at improving quality of life and pain intensity among affected women.

Full description

Chronic pelvic pain remains a challenging disorder to treat because of the complexities of pain sensation and unclear etiology. Standard medical and surgical treatments seldom prove effective at improving quality of life and pain intensity among affected women. The current study will investigate whether Laparoscopic Presacral Neurectomy or Fluoroscopically Guided Superior Hypogastric Plexus Neurolysis is more effective for treating chronic pelvic pain.

Enrollment: 62 patients

Sex: Female

Ages: 21 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient acceptance.
• Body mass index < 35 kg/m2.
• Adult patients with chronic pelvic and perineal pain due to pelvic cancer.
• Visual Analog Scale pain score ≥ 5 on a 0-10 scale despite treatment with a standard analgesic.

Exclusion criteria

• Uncooperative patient.
• Patients with coagulopathy, infection at the site of injection, severe cardiac compromise, or intolerance to sympathetic block.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

62 participants in 2 patient groups

Laparoscopic Presacral Neurectomy

Active Comparator group

Description:

The patients will undergo Laparoscopic Presacral Neurectomy under general anesthesia.

Treatment:

Procedure: Laparoscopic Presacral Neurectomy

Fluoroscopically guided Superior Hypogastric Neurolysis

Active Comparator group

Description:

The patients will receive fluoroscopically guided Superior Hypogastric Plexus Neurolysis with Radiofrequency of the Sacral Roots 2,3,4.

Treatment:

Procedure: Fluoroscopically guided Superior Hypogastric Plexus Neurolysis