| Abstrakt: |
The structure of chronic pain and its treatment in 41 cases of advanced malignant tumor of genitals are discussed. Pain syndrome was found to have a certain pattern (site, acuteness, depth, irradiation) which may be used as an additional diagnostic parameter. Different types of analgetic blockade (neurolysis) e. g. subarachnoidal, peridural and sacral, as well as blockade of pudendal nerve were applied in the treatment. Subarachnoidal blockade by alcohol proved to be the most effective (78%) and lasting (22 days). Analgesia by sacral blockade is less effective but safer. |
