Ganglion Impar Denervation and Radiofrequency on Sacral Root 3 for Chronic Prostatic Pain

Study Overview
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Brief Summary
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the authors will evaluate the added analgesic benefit of pulsed radiofrequency on sacral root 3 with ganglion impar denervation on chronic pelvic pain due to chronic prostatitis

Official Title
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for Patients With Chronic Pelvic Pain Due to Chronic Prostatitis, do Combined Ganglion Impar Denervation and Pulsed Radiofrequency on Sacral Root 3 Acheive Better Analgesia Than Ganglion Impar Alone

Conditions
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Chronic Pain

Intervention / Treatment
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* Procedure: pulsed radiofrequency
* Procedure: ganglion impar denervation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with chronic pelvic pain due to chronic prostatitis for at least 3 months VAS pain score more than 5 failed analgesic drug treatment Exclusion Criteria: coagulopathy neurogenic bladder infection at site of procedure

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PRF on S3 + ganglion impar denervation<br>patients will receive pulsed radiofrequency on sacral root number 3 in conjunction with ganglion impar denervation by alcohol | Procedure: pulsed radiofrequency<br>* patients with chronic pelvic pain due to chronic prostatitis will receive pulsed radiofrequency on sacral root number 3 and ganglion impar denervation and the patients will be followed for 6 months to assess pain severity radiofrequency procedure: patients will positioned prone on the operating table and under x-ray guidence sacral foramen number 3 will be identified and through it radiofrequency needle will be advanced to target the sacral root ganglion impar procedure: under x-ray guidance the sacrococcygeal junction is identified and spinal needle will be introduced through it to target ganglion impar and 4 ml of alcohol 50% will be injected<br>|
| Active Comparator: ganglion impar denervation<br>patients will receive ganglion impar denervation by alcohol | Procedure: ganglion impar denervation<br>* patients with chronic pelvic pain due to chronic prostatitis will receive ganglion impar denervationand and the patients will be followed for 6 months to assess pain severity ganglion impar procedure: under x-ray guidance the sacrococcygeal junction is identified and spinal needle will be introduced through it to target ganglion impar and 4 ml of alcohol 50% will be injected<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the percentage of patients that achieve more than 50% change of their initial pain on VAS pain score | VAS pain is a scale of pain measurements scored grom 0 to 10 in which 0 = no pain and 10 the worst pain immaginable | patients will be evaluated at 3 months postoperatively |