Comparison of Quality of life in patients of chronic pelvic pain after pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar

Abstract

Background: The present study was done to compare the Quality of life in patients of chronic pelvic pain after pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar. Material andMethods: The present study was prospective, randomized, single blinded study and was based on series of 30 patients presenting with chronic pelvic pain , having already failed conservative medical management, presenting in Pain clinic if IGMC Shimla. The patients were divided into 2 groups of 15 patients. Patients in Group A(n=15) were given thermal radiofrequency ablation where as patients in Group B were given pulsed radiofrequency ablation.Results: Mean 24 Hours Post Procedural American Chronic Pain Association Quality Of Life Scale Score(ACP) of the patients in Group A was 6.20 ± 0.414 where as mean 24 Hours Post Procedural ACP Score in patients of group B was 7.07 ± 0.704.(P=0.000). The mean 1 week Post Procedural ACP Score of the patients in Group A was 6.00 ± 0.000 where as mean 1 week Post Procedural ACP Score in patients of group B was 6.73 ± 0.704.( P=0.000). Mean 2 week Post Procedural ACP Score of the patients in Group A was 5.53 ± 0.516 where as mean 2 week Post Procedural ACP Score in patients of group B was 6.47 ± 0.743.(P =0.000). Mean 3 week Post Procedural ACP Score of the patients in Group A was 5.20 ± 0.414 where as mean 3 week Post Procedural ACP Score in patients of group B was 6.27 ± 0.458.(P=0.000). Conclusion: Present study showed that mean Post Procedural ACP Score (24 Hours, 1,2and 3 week) was significantly lower in group A as compared to group B. we can conclude that thermal radiofrequency ablation of ganglion impar for chronic pelvic pain produces Quality of Lifeand Functional Capacity in the patients as compared to patients who were treated with pulsed radio frequency ablation.