Superior Hypogastric Plexus Block

What is superior hypogastric plexus block?

A superior hypogastric plexus block is a short, minimally-invasive procedure that is effective at treating some chronic pelvic pain, especially if it’s secondary to malignancy.

Who is a good candidate for superior hypogastric plexus block?

If you are suffering with chronic pelvic pain or pain that you or your physician believe is originating from the bladder, urethra, uterus, vagina, vulva, perineum, prostate, penis, testes, rectum, and descending colon, the superior hypogastric plexus may be of great benefit for you.


Common conditions treated with this procedure include:

How superior hypogastric plexus block works

The superior hypogastric plexus block is usually performed with a posterior approach. During the procedure, you will be asked to lay down on your abdomen, with a pillow under the pelvis to help flatten out the lower lumbar spine natural curvature. Your lower back will be prepped and draped in a sterile manner before local anesthesia is administered at the two points of entry of the needle into your skin.

When your skin is adequately anesthetized, two needles will be advanced under fluoroscopy guidance until correct needle placement is obtained. Their correct placement will also be confirmed by administration of contrast dye. Once the position is confirmed, either a diagnostic block or a therapeutic block will be performed. A successful block is marked by profound pain relief.

The procedure usually takes less than 15 minutes. Sometimes your physician will recommend intravenous sedation to make the procedure more comfortable. Your physician will monitor your pain and vital signs (pulse, blood pressure, temperature) after the procedure.

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