Robert Moghim MD
Anchor Healthcare
Superior Hypogastric Block
1746873158
A superior hypogastric plexus block is a procedure aimed at relieving chronic pelvic pain and involves injecting medication into a group of nerves in the lower abdomen. This procedure can be helpful for conditions such as endometriosis, pelvic inflammatory disease, pelvic cancer, or chronic prostatitis, which can cause pain in the lower abdomen, pelvis, or groin area. The goal is to block pain signals that travel through these nerves, providing both diagnostic benefits and pain relief.
During this procedure, the patient lies down on an X-ray table, and a local anesthetic numbs the skin. Using fluoroscopic (live X-ray) guidance, the doctor carefully inserts a thin needle near the L4-S1 disc level to reach the nerve area, known as the superior hypogastric plexus, and delivers the medication. This can involve a local anesthetic to provide immediate relief or a neurolytic agent, such as ethanol, for longer-lasting results.
While the procedure offers significant benefits, there are also some risks. These can include temporary numbness, soreness, or, rarely, infection or nerve damage. To prepare, it is typically necessary to fast for about eight hours before the procedure, and you may need to stop certain medications, like blood thinners, beforehand. Recovery usually involves resting briefly after the injection, and most people can resume normal activities in a day or two. Pain relief can last for weeks to months, though some patients may require further treatments for continued relief.
For anyone experiencing significant pelvic pain, discussing whether a superior hypogastric plexus block might be suitable is advisable. Understanding your specific condition and medical history will help your medical team determine the best approach for pain management.
FAQs
How is the superior hypogastric plexus block performed?
During the procedure, the patient lies on an X-ray table, and the skin is numbed with a local anesthetic. Using fluoroscopic guidance (live X-ray), the doctor inserts a thin needle near the L4-S1 disc level to reach the superior hypogastric plexus and then administers the medication. This might include a local anesthetic for immediate relief or a neurolytic agent for longer-lasting effects.
How long does recovery take after a superior hypogastric plexus block, and how effective is the pain relief?
Recovery generally involves rest immediately following the injection, and most patients can resume normal activities within a day or two. Pain relief duration can vary, lasting from weeks to months, and some patients may require repeat treatments to maintain relief. The effectiveness can vary depending on the individual and the underlying condition being treated.
How should a patient prepare for a superior hypogastric plexus block?
Preparation typically involves fasting for about eight hours before the procedure. Additionally, patients may need to discontinue certain medications, such as blood thinners, prior to the block. Consultation with your medical team for specific instructions is essential.
What are the risks associated with a superior hypogastric plexus block?
While the procedure is generally safe, some risks include temporary numbness, soreness, and rarely, infection or nerve damage. Patients are advised to discuss any concerns with their healthcare provider beforehand to fully understand the risks involved.
What is a superior hypogastric plexus block and what does it treat?
A superior hypogastric plexus block is a procedure designed to relieve chronic pelvic pain by injecting medication into a group of nerves located in the lower abdomen. It is commonly used to treat conditions such as endometriosis, pelvic inflammatory disease, pelvic cancer, or chronic prostatitis, which can cause significant pain in the lower abdomen, pelvis, or groin area.