Related Experiment Video
Updated: Jul 6, 2026
10:09
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
Computed tomography-guided bilateral transdiscal superior hypogastric plexus neurolysis
Joshua Dooley1, Christopher Beadles, Kok-Yuen Ho
1Duke University Medical Center-Anesthesiology, Durham, North Carolina 27710, USA. Joshua.Dooley@duke.edu
Pain Medicine (Malden, Mass.)
|March 28, 2008
Summary
Computed tomography-guided neurolysis of the superior hypogastric plexus effectively relieved intractable abdominal pain in a patient with metastatic prostate cancer. This transdiscal approach offers an alternative for managing complex anatomical challenges.
Area of Science:
- Pain Management
- Interventional Radiology
- Oncology
Background:
- Intractable abdominal pain is a significant challenge in metastatic prostate cancer.
- Current treatment options may have limitations or side effects.
Observation:
- An 83-year-old male patient with metastatic prostate cancer experienced severe, intractable abdominal pain.
- Computed tomography (CT)-guided bilateral posteromedian transdiscal neurolysis of the superior hypogastric plexus was performed.
Findings:
- The neurolysis procedure resulted in significant pain reduction for the patient.
- This CT-guided transdiscal approach demonstrated effectiveness in managing cancer-related abdominal pain.
Implications:
- Superior hypogastric plexus neurolysis is an effective treatment for metastatic prostate cancer abdominal pain.
- The CT-guided bilateral transdiscal approach provides a viable alternative, especially when anatomical variations pose challenges.
- This technique may improve quality of life for patients with refractory cancer pain.
