Comparative efficacy between fluoroscopy-guided radiofrequency ablation of Superior hypogastric plexus and radiofrequency ablation of Superior hypogastric plexus with Ganglion impar for pelvic pain relief in endometriosis

R. K. Biswas, Pranesh Mondal, Ushnish Mukherjee, Shankarchandra Mandal, Soumadip Mandal, Subhash Chandra Biswas, Rajesh Pramanik
In: Journal of Endometriosis and Pelvic Pain Disorders · 2025 · vol. 18(1) , pp. 55–61 · doi:10.1177/22840265251358913 · W4413168125
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Radiofrequency ablation of both the superior hypogastric plexus and ganglion impar provided short-term improvements in pain and quality of life for endometriosis patients compared to ablation of only the superior hypogastric plexus.

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The provided text consists of metadata and access options for a study titled "Comparative efficacy between fluoroscopy-guided radiofrequency ablation of Superior hypogastric plexus and radiofrequency ablation of Superior hypogastric plexus with Ganglion impar for pelvic pain relief in endometriosis," but does not include the abstract or full article content. Consequently, specific details regarding the population, methods, key findings, or limitations are unavailable for summary. This paper is centrally about endometriosis — specifically evaluating interventional pain management techniques for pelvic pain associated with the condition.

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Abstract

Background: Pelvic pain of endometriosis often becomes refractory to standard pharmacological methods. For these patients, radiofrequency ablation (RFA) of Superior hypogastric plexus and Ganglion impar are effective alternative. Aim: To compare efficacy of RFA of Superior Hypogastric Plexus versus RFA of both Superior hypogastric plexus and Ganglion impar. Materials and methods: This parallel group, open-label randomised controlled trial was conducted on 40 women with endometriosis based on particular inclusion and exclusion criteria at a tertiary care hospital. They were divided into two groups using random number table; Group A received RFA of Superior hypogastric plexus and Group B received RFA of Superior hypogastric plexus with Ganglion impar. Our study parameters were Visual Analogue Scale (VAS) for pain and short-form Endometriosis Health Profile (EHP-5) for quality of life. Data was taken at baseline, at 24 h, 1 week, 4 weeks and 12 weeks. Results: Significant ( p < 0.05) improvement was noted in VAS and EHP-5 score in individual groups at all intervals. Group B has shown a better outcome of both parameters on all the follow-ups, but significant differences were noted at 24 h in the VAS score ( p = 0.025) and at 1 week in the EHP-5 score ( p = 0.040). Conclusion: Both groups have shown significant improvement compared to baseline. However, significant improvement was noted in both the parameters on short term when Ganglion Impar is ablated along-with Superior Hypogastric Plexus.
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