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Superior Hypogastric Plexus Block Successfully Treats Severe Penile Pain After Transurethral Resection of the Prostate
  1. Samuel K. Rosenberg, M.D.,
  2. Rajiv Tewari, M.D.,
  3. Mark V. Boswell, M.D., Ph.D.,
  4. Gary A. Thompson, M.D. and
  5. Allen D. Seftel, M.D.
  1. From the Departments of Anesthesiology and Urology, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, Ohio.
  1. Reprint requests: Samuel K. Rosenberg, M.D., Assistant Professor of Anesthesiology, University Hospitals of Cleveland, Department of Anesthesiology, 11100 Euclid Avenue, Cleveland, OH 44106.


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.

  • penile pain
  • superior hypogastric plexus block

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