Superior hypogastric plexus block successfully treats severe penile pain after transurethral resection of the prostate.

Rosenberg, S K; Tewari, R; Boswell, M V; Thompson, G A; Seftel, A D · Reg Anesth Pain Med · 1998

case_report · Level V

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Abstract

Superior hypogastric plexus block has been used to treat cancer pain of the pelvis. 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. 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. In this case of severe penile pain the superior hypogastric plexus block was useful diagnostically and therapeutically.

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