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KMID : 0363119960090010226
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Korean Journal of Pain
1996 Volume.9 No. 1 p.226 ~ p.228
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Ganglion Impar Block in the Management of Rectal Tenesmoid Pain
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김수관
안철수/조용노/임소영/신근만/홍순용/최영룡
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Abstract
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Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. The pain is usually spasmodic in nature and most commonly encountered in patients with carcinoma of the rectum or other pelvic
organs.
In 1988, Bristowand Foster reported that patients with severe spasmodic painful tenesmus were relieved with chemical sympathectomy. In 1990, Plancarte introduced block of Ganglion impar. This technique is proposed as an alternative means of
managing
localized perineal pain of sympathetic origin.
Ganglion impar block was performed on a 54-year-old female patient when analgesic or psychotropic drugs failed to control the symptoms of post-traumatic severe spasmodic painful tenesmus. Postoperatively, patient was free of tenesmoid pain for
only
7
days. We then performed neurotomy by RF lesion generator which provided complete pain relief.
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