Radiofrequency ablation of superior hypogastric plexus for the management of pelvic cancer pain

Abstract

Radiofrequency ablation is a safe and minimally invasive procedure that has been found effective for the treatment of various chronic pain conditions. Hereby, we report a case of severe pelvic pain due to advanced carcinoma cervix refractory to oral medications that was managed successfully by radiofrequency ablation of the superior hypogastric plexus under fluoroscopy. Her pain relieved markedly immediately after the procedure with significant reduction in opioid consumption. The effect was sustained during her follow-up period with improved quality of life.

Keywords

• Cancer cervix
• pelvic pain
• radiofrequency ablation
• superior hypogastric plexus