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Celiac plexus block for chronic flank pain: a case series
William W French1, Joseph M Kuebker, Xiang Shu
1Department of Urology, University of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
The Canadian Journal of Urology
|February 24, 2021
Summary
Celiac plexus blockade offers pain relief for chronic flank pain in urology patients. This intervention helped most patients reduce their reliance on opioid pain medication.
Area of Science:
- Urology
- Pain Management
- Interventional Radiology
Background:
- Chronic flank pain without obstruction is a difficult clinical challenge in urology.
- Opioid dependence is a significant concern for patients with chronic pain.
Purpose of the Study:
- To evaluate the effectiveness of celiac plexus blockade for managing non-obstructive chronic flank pain.
- To assess the impact of celiac plexus blockade on opioid consumption in urologic patients.
Main Methods:
- Retrospective analysis of 14 adult urology patients with chronic flank pain (>1 year).
- Data collected included demographic, clinical, and procedural variables.
- Celiac plexus blockade was the primary intervention studied.
Main Results:
- 79% of patients (11 out of 14) reported subjective pain improvement.
- 50% of patients (7 out of 14) successfully reduced their daily morphine equivalent dose (MED).
- The procedure was generally well-tolerated, with no major complications reported.
Conclusions:
- Celiac plexus blockade is a promising treatment option for symptomatic relief in urologic patients experiencing non-obstructive chronic flank pain.
- This minimally invasive procedure can aid in reducing opioid usage for chronic pain management.
