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lumbar sympathetic block

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  • lumbar sympathetic block

    Dear Dr. Wise

    Many patients have written about different experiences with the lumbar sympathetic block. I was wondering if this block poses risks to male sexual function (guidelines at U. Pittsburg say a bilateral block can result in anejaculation, but doctors do not seem to be aware of this complication: http://www.pitt.edu/~regional/Lumbar...ic%20Block.htm). Does a unilateral block then carry less risk for male patients? Are such side effects usually temporary?

    The other complication I read about is damage to the genitofemoral nerve at L2 as a consequence of permeation of the injection into the psoas (10-15% of patients). I wonder if an anesthetic block only could have such an effect, or why it would.

    Thank you in advance for any help.


    Kelly
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