A Patient With Loin Hematuria Syndrome and Chronic Flank Pain Treated With Pulsed Radiofrequency of the Splanchnic Nerves

Moeschler, Susan M.; Hoelzer, Bryan C.; Eldrige, Jason S.

doi:10.1097/ajp.0b013e31828c8922

Cited by 13 publications

(8 citation statements)

References 19 publications

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“…These studies (excluding case series and reports) are summarized in Tables 1, 2, 3, 4, and 5. Studies involving RF treatment of the SNS primarily focused on its efficacy in CRPS (Table 1) [28][29][30][31][32][33][34][35][36], pain in the perineal region (Table 2) [37][38][39][40][41][42][43][44][45][46][47][48], headache and facial pain (Table 3) [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63], and oncologic and non-oncologic abdominal pain (Table 4) [64][65][66][67][68][69][70][71]…”

Section: Methodsmentioning

confidence: 99%

Interventional Radiofrequency Treatment for the Sympathetic Nervous System: A Review Article

et al. 2021

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Section: Methodsmentioning

confidence: 99%

Interventional Radiofrequency Treatment for the Sympathetic Nervous System: A Review Article

et al. 2021

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“…Contemporaneous data compiled by Moeschler et al [ 19 ] appear to support pulsed radiofrequency as a potential therapeutic option in LPHS management, as in the instance of symptomatic relief of LPHS pain in a 50-year-old patient subjected to ablation of the splanchnic nerves after an initial favourable response to splanchnic nerve blockade.…”

Section: Management Strategiesmentioning

confidence: 93%

Loin Pain Haematuria Syndrome - A Narrative Review of Pain Management Strategies

Grech

2016

Korean J Pain

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Loin pain haematuria syndrome (LPHS) is an uncommon clinical entity that has divided renal physicians, pain practitioners, and even psychiatrists since its initial description. A relative paucity of data exists regarding the condition, with best practice guidelines lacking amid the existing threads of anecdotal experiences and variable follow-up observations. The aim of this article was to review the cumulative published experience of pain relief strategies for LPHS.

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“…Although it has not been documented in ADPKD, radiofrequency ablation of the splanchnic nerves was able to provide pain relief in a patient with loin pain hematuria syndrome. 31 Celiac plexus nerve blocks with radiofrequency ablation of the intercostal nerves has been used to provide short term pain relief in a patient with ADPKD, followed by the use of spinal cord stimulation for longer term pain relief. 32 …”

Section: Autonomic Nerve Block and Spinal Cord Stimulationmentioning

confidence: 99%

Management of Pain in Autosomal Dominant Polycystic Kidney Disease and Anatomy of Renal Innervation

et al. 2015

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Purpose: Chronic pain is a prominent feature of autosomal dominant polycystic kidney disease (ADPKD) that is difficult to treat and manage, often resulting in a decrease in quality of life. Understanding the underlying anatomy of renal innervation and different etiologies of pain that occur in ADPKD can help to guide proper treatments to manage pain. Reviewing the previously studied treatments for pain in ADPKD can help to characterize treatment in a stepwise fashion. Materials and Methods: We performed a literature search of the etiology and management of pain in ADPKD and the anatomy of renal innervation using Pubmed® and Embase® from January 1985 to April 2014 with limitations to human studies and English language. Results: Pain occurs in the majority of patients with ADPKD due to renal, hepatic, and mechanical origins. Patients may experience different types of pain, which can make it difficult to clinically confirm its etiology. An anatomical and histological evaluation of the complex renal innervation helps with an understanding of the mechanisms that can lead to renal pain. Understanding the complex nature of renal innervation is essential for surgeons to perform a renal denervation procedure. The management of pain in ADPKD should be approached in a stepwise fashion. Acute causes of renal pain must first be ruled out due to the high incidence in ADPKD. For chronic pain, non-opioid analgesics and conservative interventions can be first used before opioid analgesics are considered. If pain continues, there are surgical interventions that can target pain produced by renal or hepatic cysts. Surgical options include renal cyst decortication, renal denervation, and nephrectomy. Conclusion: Chronic pain in patients with ADPKD is often refractory to conservative, medical, and other non-invasive treatments. There are effective surgical procedures that can be implemented when more conservative treatments fail. Laparoscopic cyst decortication has been well studied and results in relief of chronic renal pain in the majority of patients. In addition, renal denervation has successfully been utilized and could be performed concurrently with cyst decortication. Nephrectomy should be reserved for patients with intractable pain and renal failure when other modalities have failed.

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A Patient With Loin Hematuria Syndrome and Chronic Flank Pain Treated With Pulsed Radiofrequency of the Splanchnic Nerves

Cited by 13 publications

References 19 publications

Interventional Radiofrequency Treatment for the Sympathetic Nervous System: A Review Article

Interventional Radiofrequency Treatment for the Sympathetic Nervous System: A Review Article

Loin Pain Haematuria Syndrome - A Narrative Review of Pain Management Strategies

Management of Pain in Autosomal Dominant Polycystic Kidney Disease and Anatomy of Renal Innervation

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