Nerve Block: Penile: Difference between revisions
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==Overview== | ==Overview== | ||
[[File:Sobo 1909 571.png|thumb|Dorsal anatomy of the penis.]] | |||
==Indications== | ==Indications== | ||
*[[Priapism]] | |||
*Penile Laceration repair | |||
*[[Penile fracture]] | |||
==Contraindications== | ==Contraindications== | ||
*Infection overlying injection site | |||
==Equipment Needed== | ==Equipment Needed== | ||
*Local anesthetic | |||
*Chloraprep | |||
*Syringe with blunt fill needle and 27ga needle | |||
==Procedure== | ==Procedure== | ||
* | [[File:24061tn.jpg|thumb|]] | ||
*Obtain informed consent | |||
*Draw up 2-5cc of local anesthetic | |||
*Clean area of injection | |||
*Using 27G needle, insert at 2 and 10 o'clock position at base of penis for dorsal nerve block | |||
**Alternatively, inject anesthetic in complete ring around base of penis for complete block | |||
**Note: nerves lay below buck's fascia. | |||
==Complications== | ==Complications== | ||
*Damage of nearby vessels | |||
*Damage to urethra | |||
*Permanent loss of sensation | |||
==See Also== | ==See Also== | ||
*[[Nerve blocks (main)]] | *[[Nerve blocks (main)]] | ||
*[[Local anesthetic systemic toxicity]] | |||
*[[Priapism]] | *[[Priapism]] | ||
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[[Category:Procedures]] | [[Category:Procedures]] | ||
[[Category:Urology]] | |||
Latest revision as of 20:18, 12 June 2021
Overview
Indications
- Priapism
- Penile Laceration repair
- Penile fracture
Contraindications
- Infection overlying injection site
Equipment Needed
- Local anesthetic
- Chloraprep
- Syringe with blunt fill needle and 27ga needle
Procedure
- Obtain informed consent
- Draw up 2-5cc of local anesthetic
- Clean area of injection
- Using 27G needle, insert at 2 and 10 o'clock position at base of penis for dorsal nerve block
- Alternatively, inject anesthetic in complete ring around base of penis for complete block
- Note: nerves lay below buck's fascia.
Complications
- Damage of nearby vessels
- Damage to urethra
- Permanent loss of sensation