Superior Hypogastric Plexus Block (X-Ray Fluoroscopy-Guided, CT-Guided)

  • Yutaka TanabeEmail author


Superior hypogastric plexus block (SHPB) involves injection of a local anesthetic or a neurolytic to the superior hypogastric plexus, which lies anterior to the fifth lumbar (L5) vertebra and the first sacral (S1) vertebra, to obtain a sympathetic nerve blocking effect. It is indicated for relief of pain originating from the pelvic viscera. It is frequently implemented by a transdiscal technique or, alternatively, by a paravertebral technique, under X-ray fluoroscopy observation or CT guidance in either case. The paravertebral technique is sometimes necessary because the insertion of the block needle by the transdiscal technique can prove anatomically difficult.


Superior hypogastric plexus block X-ray fluoroscopy-guided CT-guided Transdiscal approach 


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Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Anesthesiology and Pain MedicineJuntendo University Nerima HospitalTokyoJapan

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