01453nas a2200157   4500008004100000245009700041210006900138260001400207300001200221490000700233520089300240653010401133100000501237700001701242856003601259       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<p class="rtejustify"><strong>Background:</strong> 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. <strong>Case: </strong>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%. <strong>Conclusion:</strong> 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.</p>
10aImpar Ganglion Block; Neurolysis; 96% Alcohol; Anal adenocarcinoma; Perineal pain; Pain management.1 a1 aSusila, Dedi  uhttps://phcogj.com/article/2328