Superior and inferior hypogastric plexus blocks are minimally invasive procedures designed to relieve chronic pelvic pain by targeting key nerve clusters in the lower abdomen and pelvic region. These nerve plexuses transmit pain signals from pelvic organs, and blocking them with local anesthetic or steroid medication can significantly reduce discomfort caused by a range of conditions. The treatment is commonly used for both non-malignant and cancer-related pelvic pain.
These procedures are often part of a comprehensive pain management strategy and can be repeated or used in combination with other therapies for longer-lasting relief.
What is it?
These blocks target nerve clusters in the abdomen and pelvis to treat chronic pelvic pain, including pain from cancer, endometriosis, or other chronic conditions.
How is it performed?
Using fluoroscopic guidance, medication is injected near the appropriate nerve plexus. The procedure takes about 30-45 minutes.
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Treatment Benefits
Hypogastric plexus blocks provide targeted pain relief without affecting motor function or surrounding structures. They can reduce pain intensity, improve mobility, and help patients better tolerate physical therapy or daily activities. In cancer care, they can also reduce the need for systemic pain medications, improving overall quality of life.
Who Can Benefit From This Treatment
These blocks are typically recommended for individuals with chronic pelvic pain resulting from endometriosis, pelvic surgery, interstitial cystitis, or cancer involving pelvic organs. They are especially beneficial for patients whose pain has not responded to oral medications or less targeted injections. A thorough assessment helps determine whether a superior or inferior plexus block—or a combination of both—is appropriate for your condition.
Learn more about Superior & Inferior Hypogastric Plexus Block by contacting the Minimally Invasive Spine and Pain Institute—our team is here to help you explore your options.
Aftercare for Superior & Inferior Hypogastric Plexus Block
After receiving a hypogastric plexus block, it’s common to experience mild soreness at the injection site or temporary changes in pelvic sensation. Some patients feel immediate pain relief, while others may notice gradual improvement over a few days. Since the treatment targets deep nerves in the pelvis, it’s important to avoid strenuous activity following the procedure to allow the medication to take full effect.
Tips for a Smooth Recovery
Follow these guidelines to support healing after a superior or inferior hypogastric plexus block:
- Rest for the remainder of the day after your procedure
- Avoid heavy lifting, twisting, or high-impact activity for 24–48 hours
- Use ice packs to relieve soreness at the injection site if needed
- Monitor for changes in bowel or bladder function and report anything unusual
- Stay hydrated and eat light meals until any sedation wears off