Publication | Open Access
Superior Hypogastric Plexus Block for Pelvic Cancer Pain
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1990
Year
Surgical OncologyPain MedicineGynecologyNeuropathic PainSurgeryGynecology OncologyChronic Pelvic PainPain SyndromeSpinal TumorPain ManagementSpinal Cord InjuryInterventional Pain MedicinePelvic Cancer PainPelvic NeurologyUrologyTargeted Sympathetic NervesCancer PainChronic CancerPelvic Floor DysfunctionMedicine
The targeted sympathetic nerves lie anterior to the sacral promontory. The study performed neurolytic superior hypogastric plexus block on 28 patients with pelvic visceral neoplasia or radiation injury to relieve chronic cancer‑related pelvic pain. The block significantly reduced or eliminated pain in all patients, with no serious complications, and is recommended for diagnostic, prognostic, and therapeutic use in chronic pelvic pain of neoplastic origin.
Blockade of the superior hypogastric nerve plexus was performed for relief of chronic cancer related pelvic pain. The targeted sympathetic nerves lie anterior to the sacral promontory. Twenty-eight patients with neoplastic involvement of pelvic viscera secondary to cervical, prostate, and testicular cancer or radiation injury were treated with neurolytic superior hypogastric plexus block. Sympathetically mediated pain was significantly reduced or eliminated in all cases and no serious complications occurred. Superior hypogastric plexus block is recommended for diagnostic/prognostic and therapeutic purposes in patients with chronic pelvic pain, particularly when pain is of neoplastic origin.