Sacrococcygeal rhizotomy for perineal pain.
Chronic pain in the perineum is a difficult neurosurgical problem. This article evaluates the effectiveness of sacrococcygeal rhizotomy in 28 patients who had cancer-related pain or coccydynia, underwent rhizotomy, and were followed for an average of 3 years. Good pain relief was obtained in 53% (10 of 19 patients) with malignant pain, as opposed to 22% (2 of 9 patients) with nonmalignant pain. Sacral rhizotomy is a reasonable treatment for cancer-related perineal pain, but it is ineffective for coccydynia and other benign perineal pain problems.
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010146:Pain / Q000601:surgery*; D010502:Perineum / Q000503:physiopathology*; D011183:Postoperative Complications; D012445:Sacrococcygeal Region; D013126:Spinal Nerve Roots / Q000601:surgery*; D014565:Urogenital Neoplasms / Q000503:physiopathology