Browse > Article
http://dx.doi.org/10.3344/kjp.2010.23.4.274

Ejaculatory Failure after Unilateral Neurolytic Celiac Plexus Block  

Shin, Seo-Kyung (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Kweon, Tae-Dong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Ha, Sang-Hee (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Kyung-Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Publication Information
The Korean Journal of Pain / v.23, no.4, 2010 , pp. 274-277 More about this Journal
Abstract
Abdominal pain associated with chronic pancreatitis is often difficult to control with analgesics and can be severely debilitating with significant impairment of quality of life. In these patients, neurolytic celiac plexus block (NCPB) is an effective treatment option with a low complication rate. However, there is a risk of ejaculatory failure after NCPB, which may be a problem in patients with a long life expectancy. We report a case of ejaculatory failure after unilateral NCPB in a patient with chronic pancreatitis.
Keywords
chronic pancreatitis; ejaculatory failure; neurolytic celiac plexus block;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Santosh D, Lakhtakia S, Gupta R, Reddy DN, Rao GV, Tandan M, et al. Clinical trial: a randomized trial comparing fluoroscopy guided percutaneous technique vs. endoscopic ultrasound guided technique of coeliac plexus block for treatment of pain in chronic pancreatitis. Aliment Pharmacol Ther 2009; 29: 979-84.   DOI   ScienceOn
2 Prasanna A. Unilateral celiac plexus block. J Pain Symptom Manage 1996; 11: 154-7.   DOI   ScienceOn
3 Ischia S, Polati E, Finco G, Gottin L. Celiac block for the treatment of pancreatic pain. Curr Rev Pain 2000; 4: 127-33.   DOI   ScienceOn
4 Newman HF, Reiss H, Northup JD. Physical basis of emission, ejaculation, and orgasm in the male. Urology 1982; 19: 341-50.   DOI   ScienceOn
5 Lipshultz LI, McConnell J, Benson GS. Current concepts of the mechanisms of ejaculation. Normal and abnormal states. J Reprod Med 1981; 26: 499-507.
6 Kedia KR, Markland C, Fraley EE. Sexual function following high retroperitoneal lymphadenectomy. J Urol 1975; 114: 237-9.   DOI
7 Hastings RH, McKay WR. Treatment of benign chronic abdominal pain with neurolytic celiac plexus block. Anesthesiology 1991; 75: 156-8.   DOI   ScienceOn
8 Ishizaki K, Shiga T, Kitani Y, Fujita T. Two types of ejaculatory failure after chemical sympathectomy. Pain Clin 1993; 6: 31-3.
9 Baxter AD, O'Kafo BA. Ejaculatory failure after chemical sympathectomy. Anesth Analg 1984; 63: 770-1.
10 Dunsmuir WD, Holmes SA. The aetiology and management of erectile, ejaculatory, and fertility problems in men with diabetes mellitus. Diabet Med 1996; 13: 700-8.   DOI   ScienceOn
11 Leung JW, Bowen-Wright M, Aveling W, Shorvon PJ, Cotton PB. Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. Br J Surg 1983; 70: 730-2.   DOI   ScienceOn
12 McKay WR, McKay RE. Neurolytic celiac plexus block for benign pain: still a question? Reg Anesth Pain Med 2003; 28: 495-7.
13 Noble M, Gress FG. Techniques and results of neurolysis for chronic pancreatitis and pancreatic cancer pain. Curr Gastroenterol Rep 2006; 8: 99-103.   DOI   ScienceOn
14 Burton AW, Phan PC, Cousins MJ. Treatment of cancer pain. In: Cousins and Bridenbaugh's neural blockade in clinical anesthesia and pain medicine. 4th ed. Edited by Cousins MJ, Carr DB, Horlocker TT, Bridenbaugh PO. Philadelphia, Lippincott Williams & Wilkins. 2009, pp 1124-31.
15 Black A, Dwyer B. Coeliac plexus block. Anaesth Intensive Care 1973; 1: 315-8.