CAUTION the sacrum and the coccyx IN BLOCK

In development mouse transverse process in the sacrum and the coccyx
Chronic pelvic pain is a common problem with variable etiology.
There is only one report of inferior hypogastric plexus block via
transsacral approach. This approach has several disadvantages. In this
case a favorable outcome was obtained by using coccygeal transverse
approach of inferior hypogastric plexus. Thus, we report a patient who
was successfully given inferior hypogastric plexus block via coccygeal
transverse approach to treat chronic pelvic pain conditions involving
the lower pelvic viscera. A recent method of neurolytic inferior
hypogastric plexus block via transsacral approach has several
disadvantages because of transient paresthesia, nerve damage, rectal
puncture, vascular penetration, hematoma, and infection [2]. Since
there has been no literature on the fluoroscopy-guided inferior
hypogastric plexus block via coccygeal transverse approach, we report
a successful inferior hypogastric plexus block via coccygeal
transverse approach technique in a 65-year-old woman with chronic
pelvic pain and coccygodynia.

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