Hypogastric Plexus Block

Who would benefit from this procedure?

Patient that experience pelvic pain that maybe secondary the lower intestines, bladder, male or female reproductive systems, cancers of pelvic sources and radiation injury.

How does this procedure work?

This procedure works to block a confluence of nerves that serve to make the hypogastric plexus of nerves.

How is this procedure done?

The patient will be asked to lie on his/her abdomen. The skin is first cleaned in proper surgical sterile fashion, an area in the lower back is than anesthetized for our target, this is followed by placement of needle and times two needles are placed under x-ray guidance to their target.  A mixture of local anesthetic and at times with added steroid is injected.

What are the potential risks?

Although this is a very safe procedure, it is not without risk.  Whenever a needle is used there is always the risk of infection and bleeding.  Although rare, there is also risk for nerve root injury or injury to vascular structures such as the iliac arteries.

What should I expect after the procedure?

It is normal to experience temporary soreness at the need placement sites. You may experience warmth within the pelvis along with pain relief.  Typically, the first block benefit tends to last several day and individuals tend to experience added and longer benefits with repeated blocks or application of neurolytic agent.

You may also experience temporary numbness or weakness in the lower extremities that will resolve.