Superior Hypogastric Plexus Block Successfully Treats Severe Penile Pain After Transurethral Resection of the Prostate

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Abstract

Background and Objectives:

Superior hypogastric plexus block has been used to treat cancer pain of the pelvis.

Methods:

A patient with severe chronic nonmalignant penile pain after transurethral resection of the prostate underwent a single superior hypogastric plexus block with local anesthetic and steroid. The patient was also started on medications that treat neuropathic pain a few hours after the procedure was finished.

Results:

The superior hypogastric plexus block resulted in complete pain relief immediately after the procedure. The pain relief continued at 1, 2, 4, and 8 months follow up.

Conclusions:

In this case of severe penile pain the superior hypogastric plexus block was useful diagnostically and therapeutically.

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