Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Symptoms and General Pathology

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Nervous System Diseases

Rare Diseases

Ganglion Cysts

Cancer Pain

Vaginal Neoplasms

Vulvar Neoplasms

Pain

Synovial Cyst

Neurologic Manifestations

Vaginal Cancer

Vulvar Cancer

Anti-Infective Agents

Pharmaceutical Solutions

All Drugs and Chemicals

Phenol

In this group we will use conventional radiofrequency thermocoagulation in the management of perineal cancer pain

In this group we will use cooled radiofrequency in the management of perineal cancer pain

In this group we will use neurolysis of ganglion impar in the management of perineal cancer pain

In Cooled RF, after placement of the introducer needle, the 18 gauge internally cooled RF electrode is used for 90 seconds at a temperature of 60°C.

cooled radiofrequency ,

In conventional RF group lesion will be performed at 80°C for 120 seconds.

conventional radiofrequency

In neurolytic block, Once the position of the needle tip confirmed, 4 - 6 mL of 8% phenol in saline will be injected followed by 1 mL of saline to avoid the deposition of phenol within the intervertebral disc material.

neurolysis of ganglion

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Pain associated with neoplasms may be of somatic, visceral, or neuropathic origin.Visceral pain or pain that is mediated by the sympathetic fibers in the perineal area associated with malignancy in the pelvis may be effectively treated with neurolysis of impar ganglion.In recent years, radiofrequency lesioning of the ganglion Impar has evolved as a novel non pharmacological technique for the management of patients suffering from intractable perineal pain.

Interventions for the Management of Perineal Cancer Pain

Cooled Radiofrequency in Comparison to Either Conventional Radiofrequency Thermocoagulation or Neurolytic Block of Ganglion Impar in the Management of Perineal Cancer Pain

provides patient feedback on your empathy and relationship-building skills during consultations.

Patients rate pain on a scale from 0-10, 0 being no pain and 10 being the worst pain imaginable.

we will measure consumption of tramadol either it increasing or decreasing .

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Interventions for the Management of Perineal Cancer Pain	NCT06392399	Cancer Rectum Cancer Vulva Cancer Vagina	cooled radiofre... conventional ra... neurolysis of g...	20 Years - 80 Years	Assiut University
Interventions for the Management of Perineal Cancer Pain	NCT06392399	Cancer Rectum Cancer Vulva Cancer Vagina	cooled radiofre... conventional ra... neurolysis of g...	20 Years - 80 Years	Assiut University

Spots Global Cancer Trial Database for cooled radiofrequency ,