Sacrococcygeal rhizotomy for perineal pain

Neurosurgery. 1986 Nov;19(5):789-93. doi: 10.1227/00006123-198611000-00012.

Abstract

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.

MeSH terms

  • Adult
  • Aged
  • Chronic Disease
  • Female
  • Gastrointestinal Neoplasms / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Nerve Block
  • Pain / surgery*
  • Perineum / physiopathology*
  • Postoperative Complications
  • Sacrococcygeal Region
  • Spinal Nerve Roots / surgery*
  • Urogenital Neoplasms / physiopathology