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Analysis Study Research Paper | Oncology Science | India | Volume 12 Issue 3, March 2023

Superior Hypogastric Plexus Block for Malignancy Related Pelvic Pain - Retrospective Study in Tertiary Cancer Hospital

Dr. K. V. D. Praveen ^[3] | Dr. Srija P ^[3] | Dr A Sirisha

Abstract: Objective: Superior hypogastric plexus block (SHPB) is performed to provide pain relief caused by cancers related to pelvic organ. In this study we evaluate the efficacy of fluoroscopic guided SHPB by measuring pain relief and reduction in total morphine consumption. Method: This is a retrospective, observational study with study group consisting of 42 patients suffering from severe pain caused by pelvic cancers who underwent neurolytic superior hypogastric plexus block. We compared pain scores and morphine consumption before procedure and after procedure. We also assessed pain free period and adverse effects post procedure. Results: There was significant reduction in pain scores post procedure (2.5?0.77) when compared to pre procedure pain scores (7.86?0.61) (p = <0.05). With duration of pain relief 5.27?2.75 months. Morphine consumption was also significantly reduced compared to pre procedure requirement (p=<0.05). Conclusion: The study concludes superior hypogastric plexus block reduces sympathetically mediated chronic pain caused by pelvic malignancies with reducing the burden caused by morphine consumption. It is a minimally invasive procedure with low incidence of adverse effects.

Keywords: superior hypogastricpelxus block, pelvic pain, cancer pain, morphine, neurolysis

Edition: Volume 12 Issue 3, March 2023,

Pages: 642 - 645