Nerve Block, Dorsal Penile
Introduction Local anesthesia of the penis is used as preparation to perform various procedures, including , , , and repair of penile lacerations.
This nerve eventually divides into the right and left dorsal nerves of the penis that pass under the pubis symphysis to travel just below the Buck fascia to supply the sensory innervation to the penis.
The use of parenteral analgesia with or without sedation is recommended before the application of local penile anesthesia.
Indications Indications for anesthesia of the penis include the following: Repair of penile lacerations Release of penile skin entrapped in zippers Contraindications Contraindications for anesthesia of the penis include the following: Suspected Skin infection at the site of injection Contents Overview: Nerve Block, Dorsal Penile
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Lehr VT, Cepeda E, Frattarelli DA, Thomas R, LaMothe J, Aranda JV. Lidocaine 4% cream compared with lidocaine 2.5% and prilocaine 2.5% or dorsal penile block for circumcision. Am J Perinatol . Jul 2005;22(5):231-7. .
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[ ] Further Reading [ ] Keywords nerve block, dorsal penile block, penile nerve block, penile anesthesia, penile block, local penile anesthesia, dorsal slit of the foreskin, phimosis reduction, paraphimosis reduction, repair of penile lacerations, release of penile skin entrapped in zippers, zipper injury [ ] Contributor Information and Disclosures Author Gil Z Shlamovitz, MD, Assistant Professor of Emergency Medicine, University of Connecticut School of Medicine; Attending Physician, Emergency Department, Windham Community Memorial Hospital, Willimantic, CT; Attending Physician, Emergency Department, Hartford Hospital, Hartford, CT Gil Z Shlamovitz, MD is a member of the following medical societies: and
Disclosure: Pfizer Inc Stock for Investment from broker recommendation; Avanir Pharma Stock for Investment from broker recommendation Chief Editor Rick Kulkarni, MD, Medical Director, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital Rick Kulkarni, MD is a member of the following medical societies: , , , , , , and