Superior hypogastric plexus block successfully treats severe penile pain after transurethral resection of the prostate.
OBJECTIVE
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.
Rosenberg
S K
SK
Department of Anesthesiology, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Ohio 44106, USA.
Tewari
R
R
Boswell
M V
MV
Thompson
G A
GA
Seftel
A D
AD
D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage; D001340:Autonomic Nerve Block; D002045:Bupivacaine / Q000008:administration & dosage; D002908:Chronic Disease; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007001:Hypogastric Plexus / Q000187:drug effects; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D010149:Postoperative Pain / Q000628:therapy*; D010409:Penile Diseases / Q000628:therapy*; D011468:Prostatectomy / Q000009:adverse effects
D000779:Anesthetics, Local; D005938:Glucocorticoids; D008775:Methylprednisolone; D002045:Bupivacaine