To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Definitions
Superior hypogastric plexus is midline, retroperitoneal structure situated bilaterally on L5 vertebral body, anterior to bifurcation of abdominal aorta; plexus receives contributions from L3-L4 splanchnic nerves and pelvic splanchnic nerves (S2-S4) that ascend from inferior hypogastric plexus
It divides into right and left hypogastric nerves, which course lateral to sigmoid colon and rectosigmoid junction and medial to internal iliac artery, to join 2 inferior hypogastric plexuses
Plexus sends out multiple branches to supply sympathetic innervation to all pelvic viscera except ovaries and fallopian tubes
Inferior hypogastric plexus is bilateral structure on either side of rectum and lower part of bladder
It consists of both hypogastric nerves, which continue from superior hypogastric plexus, sacral splanchnic nerves, and pelvic splanchnic nerves (S2-S4)
While superior hypogastric plexus is in predominantly longitudinal plane, inferior counterpart is in transverse plane, extending posteroanteriorly and parallel to pelvic floor
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
POST PROCEDURE
Things To Do
OUTCOMES
Complications
Selected References
Choi JW et al: The optimal approach for a superior hypogastric plexus block. Pain Pract. 18(3):314-21, 2018
Nagpal AS et al: Interventional management for pelvic pain. Phys Med Rehabil Clin N Am. 28(3):621-46, 2017
Stogicza A. Superior and inferior hypogastric plexus blocks, In Diwan, S et al Atlas of pain medicine procedures. New York: McGraw-Hill Education/Medical, 2015
Choi HS et al: A new technique for inferior hypogastric plexus block: a coccygeal transverse approach -a case report-. Korean J Pain. 25(1):38-42, 2012
Stogicza. A et al: Inferior hypogastric plexus block affects sacral nerves and the superior hypogastric plexus. https://www.hindawi.com/journals/isrn/2012/686082/. Published 2012. Reviewed July 31, 2019. Accessed July 31, 2019.
Petersohn J: 42 – Sympathetic neural blockade. https://www.sciencedirect.com/science/article/pii/B9781416037798100429?via%3Dihub#s0010. Published 2011. Reviewed July 31, 2019. Accessed July 31, 2019.
Rohen, JW et al: Color atlas of anatomy: a photographic study of the human body. Stuttgart New York Philadelphia: Schattauer Lippincott Williams & Wilkins. 346, 2006
Gamal G et al: Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain. Clin J Pain. 22(6):544-7, 2006
Turker G et al: A new technique for superior hypogastric plexus block: the posteromedian transdiscal approach. Tohoku J Exp Med. 206(3):277-81, 2005
Rosenberg SK et al: Superior hypogastric plexus block successfully treats severe penile pain after transurethral resection of the prostate. Reg Anesth Pain Med. 23(6):618-20, 1998
Plancarte R et al: Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer. Reg Anesth. 22(6):562-8, 1997
Plancarte R et al: Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology. 73(2):236-9, 1990
Curry SL et al: Malignant teratoma of the ovary: prognostic factors and treatment. Am J Obstet Gynecol. 131(8):845-9, 1978
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Definitions
Superior hypogastric plexus is midline, retroperitoneal structure situated bilaterally on L5 vertebral body, anterior to bifurcation of abdominal aorta; plexus receives contributions from L3-L4 splanchnic nerves and pelvic splanchnic nerves (S2-S4) that ascend from inferior hypogastric plexus
It divides into right and left hypogastric nerves, which course lateral to sigmoid colon and rectosigmoid junction and medial to internal iliac artery, to join 2 inferior hypogastric plexuses
Plexus sends out multiple branches to supply sympathetic innervation to all pelvic viscera except ovaries and fallopian tubes
Inferior hypogastric plexus is bilateral structure on either side of rectum and lower part of bladder
It consists of both hypogastric nerves, which continue from superior hypogastric plexus, sacral splanchnic nerves, and pelvic splanchnic nerves (S2-S4)
While superior hypogastric plexus is in predominantly longitudinal plane, inferior counterpart is in transverse plane, extending posteroanteriorly and parallel to pelvic floor
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
POST PROCEDURE
Things To Do
OUTCOMES
Complications
Selected References
Choi JW et al: The optimal approach for a superior hypogastric plexus block. Pain Pract. 18(3):314-21, 2018
Nagpal AS et al: Interventional management for pelvic pain. Phys Med Rehabil Clin N Am. 28(3):621-46, 2017
Stogicza A. Superior and inferior hypogastric plexus blocks, In Diwan, S et al Atlas of pain medicine procedures. New York: McGraw-Hill Education/Medical, 2015
Choi HS et al: A new technique for inferior hypogastric plexus block: a coccygeal transverse approach -a case report-. Korean J Pain. 25(1):38-42, 2012
Stogicza. A et al: Inferior hypogastric plexus block affects sacral nerves and the superior hypogastric plexus. https://www.hindawi.com/journals/isrn/2012/686082/. Published 2012. Reviewed July 31, 2019. Accessed July 31, 2019.
Petersohn J: 42 – Sympathetic neural blockade. https://www.sciencedirect.com/science/article/pii/B9781416037798100429?via%3Dihub#s0010. Published 2011. Reviewed July 31, 2019. Accessed July 31, 2019.
Rohen, JW et al: Color atlas of anatomy: a photographic study of the human body. Stuttgart New York Philadelphia: Schattauer Lippincott Williams & Wilkins. 346, 2006
Gamal G et al: Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain. Clin J Pain. 22(6):544-7, 2006
Turker G et al: A new technique for superior hypogastric plexus block: the posteromedian transdiscal approach. Tohoku J Exp Med. 206(3):277-81, 2005
Rosenberg SK et al: Superior hypogastric plexus block successfully treats severe penile pain after transurethral resection of the prostate. Reg Anesth Pain Med. 23(6):618-20, 1998
Plancarte R et al: Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer. Reg Anesth. 22(6):562-8, 1997
Plancarte R et al: Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology. 73(2):236-9, 1990
Curry SL et al: Malignant teratoma of the ovary: prognostic factors and treatment. Am J Obstet Gynecol. 131(8):845-9, 1978
STATdx includes over 200,000 searchable images, including x-ray, CT, MR and ultrasound images. To access all images, please log in or subscribe.