Document Type : Original Article
Authors
- Payman Dadkhah 1
- Mehrdad Taheri 2
- Seyyed Masoud Hashemi 1
- Cyrus Momenzadeh 2
- Jafar Salehi 3
- Keivan Bahrami 1
1 Imam Hussein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Anesthesiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Background: Chronic pelvic/groin pain (CP/GP) is a debilitating condition with various treatment options, including nerve blocks. This study aimed to compare the effectiveness of ilioinguinal/iliohypogastric (II/IH) nerve block and the combination of genitofemoral (GF) and II/IH nerve block in patients with CP/GP.
Methods: This retrospective quasi-experimental (longitudinal) study was conducted at Labbafinejad Hospital (Shahid Beheshti University of Medical Science, Tehran, Iran) and assessed the medical records of 54 patients with CP/GP. Patients alternately received interventions from an experienced pain specialist. Twenty-six patients received the II/IH plus GFN block, and 28 patients received the II/IH nerve block alone. Visual analog scale (VAS) scores (before and 1, 2, and 3 months after intervention) available in medical records were extracted for all patients.
Results: In the first (P=0.019), second (P=0.015), and third month (P=0.021) following the intervention, patients in the G+I group consistently reported significantly lower pain severity compared to patients in the I group. Patients with pain from surgical causes demonstrated significantly better treatment response than those with idiopathic causes in the second (P=0.014, 0.021) and third months (P=0.015, 0.026) post-intervention in the G+I group compared to the I group.
Conclusion: Both II/IH nerve block and II/IH nerve block plus GFN block are effective in treating CP/GP. However, patients who received II/IH nerve block plus GFN block demonstrated a better treatment response than those who received II/IH nerve block alone. Additionally, it is worth noting that patients with pain from surgical causes reported lower pain intensity compared to patients with idiopathic causes in both treatment groups.
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