Hypogastric Plexus Blocks

Fronk, Benjamin; Doulatram, Gulshan

doi:10.1007/978-3-319-60361-2_36

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Many of these procedures include nerve blocks via various techniques that focus on the sympathetic nervous system at three main locations: the impar ganglion, the hypogastric plexus, and the lumbar sympathetic chain in L2 [ 13 ]. Neurolysis of the inferior hypogastric plexus has also been indicated in the treatment of pelvic and perineal pain caused by cancer [ 5 ]. A fluoroscopy-guided trans-sacral approach to the inferior hypogastric plexus showed a reduction in pain scores from a mean of 7.22 ± 1.31 to 4.06 ± 1.73 one week after the procedure [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study utilizing the classic technique found pain reduction in 72% of patients suffering from gynecologic, colorectal, or genitourinary cancer (including 142 females with gynecological cancer and 17 males with prostate, colorectal, or bladder carcinomas) [ 21 ]. Other techniques for SHPB include transdiscal, posteromedian, posterior paravertebral, and CT-guided anterior and posterior approaches [ 5 , 8 , 18 , 20 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fluoroscopic-Guided Bilateral Superior Hypogastric Plexus Neurolysis in the Treatment of Intractable Neoplasm-Related Penile Pain

Fisher¹,

Daoud²,

Gonzalez³

et al. 2021

Cureus

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Intractable penile pain can be a very difficult condition to address. Studies have shown that both locally advanced and metastatic penile cancer, along with its associated management options and subsequent complications, yield a very poor prognosis, with pain being the most feared symptom. Furthermore, a lack of palliative therapy has been demonstrated in this patient population, with an emphasis on the need for implementing future options. This case depicts a 67-year-old male, with a past medical history of metastatic prostate cancer involving the penis, who presented with intractable penile pain. To the authors' knowledge, this will be the first documented case of the successful utilization of a bilateral superior hypogastric plexus neurolysis in the management of intractable neoplasm-related penile pain attributed to both radiationinduced injury in the treatment of malignant neoplasm and penile pain secondary to metastatic prostate cancer to the penis. As a currently under-utilized treatment option in the management of intractable neoplasm-related penile pain, this case presentation acts to increase awareness of its potential use, therefore reducing the need for analgesics and the associated burdens, as well as improving patient palliation. Furthermore, this case offers evidence supporting the encouragement of its use in the general management of intractable penile pain due to other pathophysiology.

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Section: Discussionmentioning

confidence: 99%