Nerve Block: Penile

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

See Also

• Nerve blocks (main)
• Priapism