Nerve Block: Penile: Difference between revisions

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==Equipment Needed==
==Equipment Needed==
*1% Lidocaine w/ or with out epinephrine
*1% Lidocaine with or with out epinephrine
*18 gauge needle for drawing up lidocaine
*18 gauge needle for drawing up lidocaine
*27 gauge needle for injection
*27 gauge needle for injection

Revision as of 02:48, 12 July 2016

Overview

Indications

  • Priaprism
  • Penile Laceration repair
  • Penile fracture

Contraindications

  • Do not inject over area of cellulitis

Equipment Needed

  • 1% Lidocaine with or with out 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.
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Complications

  • Damage of nearby vessels
  • Damage to urethra
  • Permanent loss of sensation

See Also

External Links

References