Superior Hypogastric Plexus Block for Pelvic Cancer Pain

Critical Evaluation of Chemical Neurolysis of the Sympathetic Axis for Cancer Pain

“…[30][31][32] Analgesia to the organs in the pelvis is possible because the afferent fibers innervating these structures travel in the sympathetic nerves, trunks, ganglia, and rami. Thus, a sympathectomy for visceral pain is analogous to a peripheral neurectomy or dorsal rhizotomy for somat- ic pain.…”

“…The technique for the blockade has been described elsewhere. [30][31][32] Fig 3 shows adequate needle placement and contrast medium spread prior to neurolysis of the superior hypogastric plexus.…”

Inferior hypogastric plexus blockade versus acupuncture for the management of idiopathic chronic pelvic pain: A randomized clinical trial

“…[22] Previous studies have shown that inferior hypogastric plexus blockade plays a diagnostic role in the management of chronic pelvic and perineal pains by providing information that serves as guide for more specific global pain management procedures, particularly when the pain is of neoplastic origin. [23,24] The minor differences in the success rate of this technique between different studies may be due to technical variation and operator experience, as the procedure requires knowledge of the pelvic anatomy.…”

Pharmacological Management of Cancer-Related Pain

“…Abdominal pain may be controlled by a blockade of the celiac plexus, which, if successful, can block nociceptive input from many structures in the upper abdomen, in particular the pancreas. 113 Use of the superior hypogastric ganglion block for the treatment of malignant pelvic pain was first described by Plancarte et al 114 …”