Nerve Block: Penile: Difference between revisions
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==Indications== | ==Indications== | ||
* Priaprism | |||
* Penile Laceration repair | |||
* Penile fracture | |||
==Contraindications== | ==Contraindications== | ||
* Do not inject over area of cellulitis | |||
==Equipment Needed== | ==Equipment Needed== | ||
* 1% Lidocaine w/ or w/o epinephrine | |||
* 18 gauge needle for drawing up lidocaine | |||
* 27 gauge needle for injection | |||
* Chloraprep | |||
==Procedure== | ==Procedure== | ||
*Use 27G needle for penile nerve block at 2 and 10 o'clock position at base of penis | *Use 27G needle for penile nerve block at 2 and 10 o'clock position at base of penis for dorsal nerve block or perform completely penile ring block. Nerves lay below buck's fascia. | ||
[[File:24061tn.jpg|thumb|]] | |||
==Complications== | ==Complications== | ||
* Damage of nearby vessels | |||
* Damage to urethra | |||
* Permanent loss of sensation | |||
==See Also== | ==See Also== | ||
Revision as of 23:34, 10 October 2015
Overview
Indications
- Priaprism
- Penile Laceration repair
- Penile fracture
Contraindications
- Do not inject over area of cellulitis
Equipment Needed
- 1% Lidocaine w/ or w/o epinephrine
- 18 gauge needle for drawing up lidocaine
- 27 gauge needle for injection
- Chloraprep
Procedure
- Use 27G needle for penile nerve block at 2 and 10 o'clock position at base of penis for dorsal nerve block or perform completely penile ring block. Nerves lay below buck's fascia.
Complications
- Damage of nearby vessels
- Damage to urethra
- Permanent loss of sensation