Superior hypogastric plexus block versus continuous epidural morphine for intractable cancer pelvic pain

ABSTRACT

This study was performed on 60 patients suffered from pain due to cancer bladder and prostate. All patients reported a visual analogue scale [VAS] pain score of 6-10/10 before treatment. The patients were divided into three groups according to the site, severity and type of pain. Adjuvant drugs in the form of antidepressants, steroids, anti convulsants may be needed to all groups. In groups A [medical group], pain was completely relieved in 70% of the patients and was reduced in 30% of them. In group B [epidural morphine], pain was completely relieved in 70% of the patients and was reduced in 30%. In group C [superior hypogastric block], pain was completely relieved in 80% of the patients and was reduced in 20%