TY  - JOUR
T1  - Clinical outcomes of combined ganglion impar block and caudal epidural steroid injection in chronic perineal pain: a retrospective study
AU  - Çelik, Gözde
AU  - Farham, Fatemeh
AU  - Aktan, Çile
AU  - İnan, Nurten
PY  - 2026
DA  - March
Y2  - 2026
DO  - 10.47582/jompac.1867518
JF  - Journal of Medicine and Palliative Care
JO  - J Med Palliat Care / JOMPAC / jompac
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2717-7505
SP  - 323
EP  - 329
VL  - 7
IS  - 2
LA  - en
AB  - Aims: Chronic perineal pain is a complex and debilitating condition that often shows limited response to conservative treatment modalities. Ganglion impar block (GIB) and caudal epidural steroid injection (CESI) are established interventional techniques; however, clinical data on their combined use are limited. This study aimed to evaluate the effectiveness and safety of performing GIB and CESI concurrently in patients with chronic perineal pain.Methods: This retrospective study included 43 patients who underwent combined GIB and CESI in a single session. Demographic and clinical data were obtained from medical records. Pain intensity was assessed using the Visual Analog Scale (VAS) at baseline, 3 weeks, and 6 months after the procedure. Adverse events and the need for repeat interventions were also evaluated.   Results: The study population consisted predominantly of female patients (81.4%), with a mean age of 41.79±14.10 years. Trauma was the most common pain etiology (62.8%). Median VAS scores decreased significantly from 8 [6–10] at baseline to 0 [0–8] at 3 weeks and to 2 [0–8] at 6 months (p
KW  - Ganglion impar block
KW  - caudal epidural steroid injection
KW  - chronic perineal pain
KW  - interventional pain management
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UR  - https://doi.org/10.47582/jompac.1867518
L1  - https://dergipark.org.tr/en/download/article-file/5622273
ER  -