Background And Objectives: Hypograstric plexus block has been considered a safe and effective alternative for treat patients with chronic pelvic pain. Published studies available at MedLine on the subject were included and evaluated in this review.

Contents: Some studies have documented superior hypogastric plexus block effectiveness in relieving pain and decreasing opioid consumption, mainly in cancer patients. However, studies had failures in method or design.

Conclusions: New prospective and better-designed studies are still needed to confirm the effectiveness of hypogastric plexus block in relieving pelvic pain. These studies shall have stricter inclusion criteria, longer follow-up, and evaluation of other symptoms and quality of life before and after the procedure. Superior hypogastric plexus block should be recommended as alternative and not as primary therapy.

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http://dx.doi.org/10.1590/s0034-70942005000600011DOI Listing

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