Fluoroscopic &Ultrasonographic Guidance of Superior Hypogastric Plexus Neurolysis in Intractable Pelvic Pain

Not Applicable

Completed

• Conditions: Intractable Pelvic Cancer Pain
• Interventions: Procedure: double modality (ultrasound and fluroscopic) guided block; Procedure: fluroscopic guided block

• Registration Number: NCT03606811
• Lead Sponsor: Assiut University

Brief Summary

fluoroscopic group \& includes 30 patients where SHPB will be done Fluoroscopic-guided (the posterior oblique trajectory technique.the double modality group \& includes 30 patients where SHPB will be done using our described new technique of performing the modified Mishra technique by injecting 3-5 ml of contrast media (lohexol=omnipaque) after getting the target position.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-07-14
• Study First Submitted QC: 2018-07-28
• Study First Posted: 2018-07-31
• Study Start: 2018-08-05
• Primary Completion: 2019-08-01
• Study Completion: 2019-08-15
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-11
• Last Update Posted: 2020-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Age > 18 years.
• Intractable pelvic cancer pain (VAS > 40 mm)
• Pain is refractory to pharmacotherapy (both opioids and adjuvant therapy) or opioids' side effects are not tolerated.

Exclusion criteria

• Local or systemic sepsis.
• Uncorrectable coagulopathy.
• Neuropsychiatric illness.
• History of drug abuse.
• Pregnant or lactating patients.
• Distorted local anatomy.
• Patients who are known to be allergic to the used medications.
• Cardiovascular or respiratory instability.

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
double modality guided block	double modality (ultrasound and fluroscopic) guided block	-
fluroscopic guided block	fluroscopic guided block	-

Primary Outcome Measures

Name	Time	Method
pain relief will be assessed by VAS	12 weeks	pain relief will be assessed by VAS (visual Analogue score) which is 100 mscale with left (0) end means no pain \& right (10) end means the worst possible pain

Trial Locations

Locations (1)

NCI, Cairo university; 🇪🇬 Cairo, Egypt