160 results match your criteria Nerve Block Dorsal Penile


Analgesic efficacy and impact of caudal block on surgical complications of hypospadias repair: a systematic review and meta-analysis.

Reg Anesth Pain Med 2019 Feb;44(2):259-267

Department of Anesthesiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China

Background And Objectives: is commonly used for children undergoing hypospadias repair. However, the safety of caudal block for hypospadias repair in children is controversial in terms of surgical complications such as urethrocutaneous fistula and glans dehiscence. We sought to perform a meta-analysis to estimate the analgesic efficacy and relative complications of caudal block for hypospadias repair in children. Read More

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http://rapm.bmj.com/lookup/doi/10.1136/rapm-2018-000022
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http://dx.doi.org/10.1136/rapm-2018-000022DOI Listing
February 2019
8 Reads

Comparative effectiveness of interventions for managing postoperative catheter-related bladder discomfort: a systematic review and network meta-analysis.

J Anesth 2019 Jan 2. Epub 2019 Jan 2.

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

Background: Although many drugs or interventions have been studied to manage catheter-related bladder discomfort (CRBD), their comparative effectiveness is unknown. We attempted to assess the comparative effectiveness of the strategies to manage CRBD in patients undergoing urologic surgery including amikacin, solifenacin, darifenacin, butylscopolamine, dexmedetomidine, gabapentin, glycopyrrolate, ketamine, oxybutynin, resiniferatoxin, tolterodine, tramadol, caudal block, dorsal penile nerve block, lidocaine-prilocaine cream.

Methods: We performed an arm-based network meta-analysis including 29 trials with 2841 participants. Read More

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http://dx.doi.org/10.1007/s00540-018-2597-2DOI Listing
January 2019
2 Reads

Ischemia of the glans 24 hours after circumcision: A case report and therapeutic solution.

Urologia 2018 Nov 26;85(4):174-176. Epub 2018 Mar 26.

Department of Urology, Advanced Urotechnology Centre, IRCCS Istituto Auxologico Italiano, Milan, Italy.

Introduction:: Circumcision is a common surgical procedure, typically performed under local anesthesia and somehow also as outpatient clinic. Although complications are rare and most frequently related to the procedure itself, ischemia of the glans may occur as a major complication and can be related to local ischemia following dorsal penile nerve block.

Case Description:: We describe the case of a 33-year-old patient who underwent circumcision at our institution and, 24 h after the procedure, developed an acute ischemia of the glans; a re-intervention was performed in emergency setting to ensure a large, not-tightened circular suture under the glans, and low-molecular-weight heparin and antiplatelet therapy was introduced to achieve anti-coagulative/antiaggregant effects. Read More

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http://journals.sagepub.com/doi/10.1177/0391560318761288
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http://dx.doi.org/10.1177/0391560318761288DOI Listing
November 2018
12 Reads

Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation.

European J Pediatr Surg Rep 2018 Jan 28;6(1):e66-e69. Epub 2018 Sep 28.

Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.

Circumcision is one of the most frequent procedures performed by pediatric surgeons. A dorsal penile nerve block (DPNB) is commonly used for perioperative analgesia. We report the case of a 16-year-old boy with ischemia of the glans who presented on the first postoperative day after circumcision under DPNB (0. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667330
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http://dx.doi.org/10.1055/s-0038-1667330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162192PMC
January 2018
15 Reads

Dorsal penile nerve block versus eutectic mixture of local anesthetics cream for pain relief in infants during circumcision: A meta-analysis.

PLoS One 2018 6;13(9):e0203439. Epub 2018 Sep 6.

Department of Urology & Andrology, Minimally Invasive Surgery Center, Guangdong Provincial Key Laboratory of Urology, The First Affiliated Hospital of GuangZhou Medical University, Guangzhou, Guangdong, China.

Objective: To compare dorsal penile nerve block (DPNB) and eutectic mixture of local anesthetics (EMLA) cream for pain relief in infants during circumcision.

Methods: We systematically searched Medline via PubMed, Embase, CNKI and the Cochrane Library Center Register to identify randomized controlled trials up to March 2018. Effect estimates were performed in random effect models. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203439PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126851PMC
February 2019
1 Read

Dorsal penile nerve block for circumcision in pediatric patients: A prospective, observer-blinded, randomized controlled clinical trial for the comparison of ultrasound-guided vs landmark technique.

Paediatr Anaesth 2018 08 23;28(8):703-709. Epub 2018 Jul 23.

Department of Anaesthesiology, University Hospitals of the KU Leuven, Leuven, Belgium.

Background And Aims: Circumcision is a frequently performed procedure in day case pediatric surgery. Dorsal penile nerve block has proven its effectiveness for the management of acute postoperative pain after circumcision. We investigated if the ultrasound-guided placement of a dorsal penile nerve block could reduce opioid requirement as compared to a landmark-based technique. Read More

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http://doi.wiley.com/10.1111/pan.13429
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http://dx.doi.org/10.1111/pan.13429DOI Listing
August 2018
29 Reads

Effect of operative local anesthesia on postoperative pain outcomes of inflatable penile prosthesis: prospective comparison of two medications.

Int J Impot Res 2018 Jun 25;30(3):93-96. Epub 2018 May 25.

Urological Research Network, Hialeah, FL, 33016, USA.

Few studies have examined the roles of dorsal penile nerve block (DPNB) and penile ring block (PRB) in surgery of inflatable penile prosthesis (IPP) placement. We sought to compare the postoperative pain outcomes of two different medications used in DPNB plus PRB. We thus carried out a prospective study of patients with erectile dysfunction who underwent "de novo" IPP placement between January 2013 and June 2013. Read More

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http://dx.doi.org/10.1038/s41443-018-0025-7DOI Listing
June 2018
10 Reads

[Ultrasound-guided penile nerve block for pediatric hypospadias surgery].

Agri 2018 Apr;30(2):97-98

Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

An ultrasound-guided dorsal penile nerve (DPN) block was performed for postoperative analgesia in a 6-year-old, 19 kg, American Society of Anesthesiologists class II patient undergoing hypospadias surgery. The block was applied following the induction of general anesthesia. Anesthesia maintenance was provided with sevoflurane 2% in a 1:2 ratio of oxygen and nitrous oxide. Read More

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http://dx.doi.org/10.5505/agri.2016.70446DOI Listing
April 2018
2 Reads

Field evaluation of the safety, acceptability, and feasibility of early infant male circumcision using the AccuCirc device.

PLoS One 2018 14;13(2):e0191501. Epub 2018 Feb 14.

Nyanza Reproductive Health Society, Kisumu, Kenya.

Background: As countries scale up adult voluntary medical male circumcision (VMMC) for HIV prevention, they are looking ahead to long term sustainable strategies, including introduction of early infant male circumcision (EIMC). Although a number of devices for EIMC are prequalified by the World Health Organization, evaluation of additional devices can provide policy-makers and clinicians the information required to make informed decisions. We undertook a field evaluation of the safety and acceptability of the AccuCirc device in Kisumu County, Kenya. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191501PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812570PMC
March 2018
14 Reads

Pudendal Nerve Block Versus Penile Nerve Block in Children Undergoing Circumcision.

Urol J 2018 05 3;15(3):109-115. Epub 2018 May 3.

Cerrahpasa Medical Faculty, Department of Anesthesiology and Reanimation, Istanbul, TURKEY.

Purpose: Penile nerve block is the most popular nerve block for the circumcision in pediatric patients. This study aimed to compare the analgesic efficiency of penile nerve block and the pudendal nerve block on postoperative pain and additional analgesic requirements in children undergoing circumcision.

Material And Methods: This prospective randomized double-blind study enrolled 85 children, aged 1 to10 years, undergoing circumcision. Read More

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http://dx.doi.org/10.22037/uj.v0i0.4292DOI Listing
May 2018
5 Reads

Combination Analgesia for Neonatal Circumcision: A Randomized Controlled Trial.

Pediatrics 2017 Dec 17;140(6). Epub 2017 Nov 17.

Surgery, American University of Beirut Medical Center, Beirut, Lebanon

Objectives: There is no consensus on the most effective pain management for neonatal circumcision. We sought to compare different modalities.

Methods: This is a double-blinded randomized controlled trial comparing 3 combination analgesics used during circumcision (EMLA + sucrose; EMLA + sucrose + dorsal penile nerve block [DPNB]; EMLA + sucrose + ring block [RB]) with the traditional topical analgesic cream EMLA alone. Read More

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http://dx.doi.org/10.1542/peds.2017-1935DOI Listing
December 2017
12 Reads

Comparison of Intraoperative and Early Postoperative Outcomes of Caudal vs Dorsal Penile Nerve Blocks for Outpatient Penile Surgeries.

Urology 2018 08 6;118:164-171. Epub 2017 Nov 6.

Division of Pediatric Urology, Department of Urology, Indiana University School of Medicine, Indianapolis, IN.

Objective: To compare intraoperative and 1-hour postoperative outcomes in caudal vs dorsal penile nerve block (DPNB) patients undergoing penile surgeries.

Materials And Methods: We performed a retrospective cohort study of boys <10 years old undergoing penile procedures (2013-2015) using the Pediatric Regional Anesthesia Network, Pediatric Health Information System databases, and our medical records. The primary outcome was a maximum Faces Limbs Activity Crying Consolability pain score of >3. Read More

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http://dx.doi.org/10.1016/j.urology.2017.08.062DOI Listing
August 2018
21 Reads

Sacral neuromodulation blocks pudendal inhibition of reflex bladder activity in cats: insight into the efficacy of sacral neuromodulation in Fowler's syndrome.

Am J Physiol Regul Integr Comp Physiol 2018 01 20;314(1):R34-R42. Epub 2017 Sep 20.

Department of Urology, University of Pittsburgh , Pittsburgh, Pennsylvania.

This study tested the hypothesis that sacral neuromodulation, i.e., electrical stimulation of afferent axons in sacral spinal root, can block pudendal afferent inhibition of the micturition reflex. Read More

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http://dx.doi.org/10.1152/ajpregu.00285.2017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866366PMC
January 2018
16 Reads

[An unexpected complication: glans ischemia after circumcision. Review of the literature].

Cir Pediatr 2016 Jul 10;29(3):127-130. Epub 2016 Jul 10.

UGC Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba.

Introduction: Circumcision is a frequent and common surgical procedure in children; nevertheless it is not completely hassle-free. Post circumcision ischemic complications are even rare and they are generally due to administration of local vasoconstrictor anesthetics. There are few cases reported in the literature. Read More

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July 2016
19 Reads

Ultrasound-guided dorsal penile nerve block performed in a case of zipper entrapment injury.

J Clin Ultrasound 2017 Nov 10;45(9):589-591. Epub 2017 Feb 10.

Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.

Injury to the penis resulting from zipper entrapment is a painful condition that presents a unique anesthetic challenge to the emergency physician and may even require procedural sedation for removal. In this case report, we describe successful removal of zipper entrapment from the penis of a 34-year-old patient after the application of an ultrasound-guided dorsal penile nerve block. We discuss the anatomy, sonographic features, and steps required for the nerve block procedure. Read More

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http://doi.wiley.com/10.1002/jcu.22459
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http://dx.doi.org/10.1002/jcu.22459DOI Listing
November 2017
5 Reads

Comparison of preventive analgesia techniques in circumcision cases: Dorsal penile nerve block, caudal block, or subcutaneous morphine?

J Pak Med Assoc 2017 Feb;67(2):159-165

Department of Urological Surgery, Ordu University School of Medicine, Turkey.

Objective: To compare 3 different techniques of preventive analgesia before circumcision operations in male children between 6-12 years of age. Our objective was to investigate the duration and quality of postoperative analgesia in patients, who were subject to caudal block technique, dorsal penile nerve block or who were administered subcutaneous morphine.

Methods: The prospective, randomised, single-blind study was conducted at Ordu University Training and Research Hospital, Ordu, Turkey, from January 1 to June 30, 2015, and comprised boys aged 6-12 years, who were scheduled to undergo circumcision operation. Read More

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February 2017
13 Reads

Cause and Effect versus Confounding-Is There a True Association between Caudal Blocks and Tubularized Incised Plate Repair Complications?

J Urol 2017 03 26;197(3 Pt 2):845-851. Epub 2016 Oct 26.

Division of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.

Purpose: We studied the impact of caudal block vs dorsal penile block on the rate of urethrocutaneous fistula and glans dehiscence in children who underwent hypospadias repair.

Materials And Methods: We retrospectively reviewed the records of 849 consecutive patients who underwent tubularized incised plate repair between 2004 and 2015. A total of 331 cases with incomplete medical records, other techniques and redo repair were excluded. Read More

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http://dx.doi.org/10.1016/j.juro.2016.08.110DOI Listing
March 2017
19 Reads

Ultrasound Guided In-Plane Penile Nerve Block for Circumcision: A New, Modified Technique Suggests Lower Anesthetic Volume and Narcotic Use.

Middle East J Anaesthesiol 2016 Oct;23(6):647-53

Context: Circumcision is one of the most common surgical procedures in pediatric males. Anesthesia is often the classic dorsal penile nerve block (DPNB), which is based on landmark identification and tactile feel of tissue resistance during needle advancement. However, this technique is associated with technical failures and vascular complications. Read More

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October 2016
2 Reads

High Flow Priapism in a Pediatric Patient after Circumcision with Dorsal Penile Nerve Block.

Case Rep Pediatr 2016 28;2016:6976439. Epub 2016 Aug 28.

Department of Surgery, Division of Urology, Duke University Medical Center, Durham, NC 27705, USA.

We report the first documented case of high flow priapism after circumcision with dorsal penile nerve block. A 7-year-old male who had undergone circumcision three years before presented to our institution with a 3-year history of persistent nonpainful erections. Workup revealed a high flow priapism and, after discussion of the management options, the patient's family elected continued observation. Read More

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http://www.hindawi.com/journals/cripe/2016/6976439/
Publisher Site
http://dx.doi.org/10.1155/2016/6976439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018345PMC
September 2016
3 Reads

Liposomal bupivacaine peripheral nerve block for the management of postoperative pain.

Cochrane Database Syst Rev 2016 Aug 25(8):CD011476. Epub 2016 Aug 25.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.

Background: Postoperative pain remains a significant issue with poor perioperative pain management associated with an increased risk of morbidity and mortality. Liposomal bupivacaine is an analgesic consisting of bupivacaine hydrochloride encapsulated within multiple, non-concentric lipid bi-layers offering a novel method of sustained release.

Objectives: To assess the analgesic efficacy and adverse effects of liposomal bupivacaine infiltration peripheral nerve block for the management of postoperative pain. Read More

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http://dx.doi.org/10.1002/14651858.CD011476.pub2DOI Listing
August 2016
8 Reads

Self-Inflicted Nailgun-Induced Penetrating Penile Injury: Case Report and Discussion.

CJEM 2017 May 13;19(3):238-241. Epub 2016 Jul 13.

*Division of Emergency Medicine,Department of Medicine,McMaster University,Hamilton,ON.

Penetrating penile injuries occur mostly in industrial/work accidents, automobile accidents, or as a result of sexual curiosity and attempts at self-expression/mutilation. In this case report, the authors describe an accidental nailgun injury to the penis of a 46-year-old man. We discuss the management of such injuries in the emergency department, including the utility of a dorsal penile block for regional anesthesia. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
Publisher Site
http://dx.doi.org/10.1017/cem.2016.334DOI Listing
May 2017
4 Reads

The analgesic effect of clonidine as an adjuvant in dorsal penile nerve block.

Pan Afr Med J 2016 21;23:213. Epub 2016 Apr 21.

Anesthesiology Department, Hedichaker University Hospital, Sfax, Tunisia.

Introduction: Dorsal penile nerve block (DPNB) is a commonly performed regional anesthetic technique for male circumcision. The aim of this study was to assess the analgesic effect of the adjunction of clonidine to bupivacaine 0.5% in this block. Read More

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http://dx.doi.org/10.11604/pamj.2016.23.213.5767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907766PMC
February 2017
8 Reads

Institutional Policy Changes to Prevent Cardiac Toxicity Associated With Bupivacaine Penile Blockade in Infants.

A A Case Rep 2016 Aug;7(3):71-5

From the *Department of Urology, Boston Children's Hospital, Boston, Massachusetts; and †Department of Anesthesiology, Preoperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.

Dorsal penile nerve block is a widely used method of analgesia for infants undergoing penile surgery. Because of its potency, extended duration of action, and lack of vasoconstriction, bupivacaine remains the most commonly used local anesthetic. Rapid systemic absorption of bupivacaine, however, has been associated with profound central nervous system and cardiovascular side effects, including cardiac arrest. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000347DOI Listing
August 2016
3 Reads

Intracavernosal metaraminol bitartrate for treatment of priapism resulting from circumcision: a case report.

Springerplus 2016 12;5:436. Epub 2016 Apr 12.

State Key Laboratory of Reproductive Medicine, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029 People's Republic of China.

Introduction: Priapism is an uncommon disorder of involuntary prolonged erection beyond sexual excitement or desire. Herein, we present a rare case of priapism resulting from traditional circumcision under regional anesthesia with dorsal penile nerve block by xylocaine, which was successfully treated by intracavernosal injection of metaraminol bitartrate.

Case Description: A 37-year-old man visited our out-patient department for a penile erection, which had been observed during the surgery, lasting for 21 days. Read More

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http://link.springer.com/content/pdf/10.1186/s40064-016-2069
Web Search
http://springerplus.springeropen.com/articles/10.1186/s40064
Publisher Site
http://dx.doi.org/10.1186/s40064-016-2069-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828374PMC
April 2016
11 Reads

Dorsal Penile Nerve Block With Ropivacaine-Reduced Postoperative Catheter-Related Bladder Discomfort in Male Patients After Emergence of General Anesthesia: A Prospective, Randomized, Controlled Study.

Medicine (Baltimore) 2016 Apr;95(15):e3409

From the Department of Dermatovenereology (J-YL), West China Hospital, Sichuan University, Chengdu; Department of Anesthesiology (M-LY), the First People's Hospital of Neijang, Neijiang; and Department of Anesthesiology (RL), West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Catheter-related bladder discomfort (CRBD) is a distressing symptom complex after surgery, especially in male patients who have had urinary catheterization under general anesthesia. In this prospective, randomized, controlled trial, we compared dorsal penile nerve block (DPNB) with 0.33% ropivacaine with intravenous tramadol 1. Read More

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http://dx.doi.org/10.1097/MD.0000000000003409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4839864PMC
April 2016
32 Reads

Dorsal penile nerve block for rigid cystoscopy in men: study protocol for a randomized controlled trial.

Trials 2016 Mar 18;17(1):147. Epub 2016 Mar 18.

Department of Anesthesiology, West China Hospital of Sichuan University, #37, Guoxue Ave., Chengdu, Sichuan, 610041, China.

Background: Pain is common in men undergoing rigid cystoscopy. Even with the application of a lubricant containing 2 % lidocaine, about 76 % of men suffer from mild to severe pain when undergoing rigid cystoscopy. The most painful part of the procedure for men is when the cystoscope passes through the membranous urethra. Read More

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http://www.trialsjournal.com/content/17/1/147
Publisher Site
http://dx.doi.org/10.1186/s13063-016-1281-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797248PMC
March 2016
10 Reads

Electrical Stimulation of the Spinal Dorsal Root Inhibits Reflex Bladder Contraction and External Urethra Sphincter Activity: Is This How Sacral Neuromodulation Works?

Urol Int 2016 9;96(3):360-6. Epub 2016 Mar 9.

Department of Urology, China-Japan Friendship Hospital, Beijing, PR China.

Introduction: Using a rat model, we aimed to confirm the inhibitory effect of dorsal spinal root (afferent) stimulation and test if bilateral stimulation is more effective than unilateral stimulation. External urethral sphincter (EUS) electromyography (EMG) is also assessed in conjunction with cystometrogram.

Materials And Methods: Eighteen female Sprague-Dawley rats were tested following urethane anesthesia. Read More

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http://dx.doi.org/10.1159/000444591DOI Listing
February 2017
1 Read

Acute Ischemia of the Glans Penis after Circumcision Treated with Hyperbaric Therapy and Pentoxifylline: Case Report and Revision of the Literature.

Urol Int 2018 13;100(3):361-363. Epub 2016 Feb 13.

Department of Urology, University Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.

Acute severe ischemia of glans penis after circumcision is a very rare event and, if not treated, can lead to irreversible necrosis with severe consequences such as loss of part of the penis. The possible causes for this condition could be blood-vessel binding or cauterization, dorsal penile nerve block (DPNB), local anesthesia with vasoconstricting agents and wound dressing compression. The aim of the treatment is to provide good blood supply and thus, oxygen delivery to the ischemic penis. Read More

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https://www.karger.com/Article/FullText/444399
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http://dx.doi.org/10.1159/000444399DOI Listing
December 2018
8 Reads

Dorsal penile nerve block with ropivacaine versus intravenous tramadol for the prevention of catheter-related bladder discomfort: study protocol for a randomized controlled trial.

Authors:
Jing-yi Li Ren Liao

Trials 2015 Dec 30;16:596. Epub 2015 Dec 30.

Department of Anesthesiology, West China Hospital of Sichuan University, 37 Guoxue Lane, Chengdu, 610041, Sichuan Province, People's Republic of China.

Background: Catheter-related bladder discomfort (CRBD) is common in male patients under general anesthesia, and it may cause patient agitation and exacerbated postoperative pain. In this study, we will enroll male patients undergoing elective surgery with urinary catheterization after anesthetic induction and compare the efficacy of a dorsal penile nerve block (DPNB) and intravenous tramadol for the prevention of CRBD.

Methods/design: This trial is a prospective, open-label, randomized controlled trial that will test the superiority of a dorsal penile nerve block with 0. Read More

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http://dx.doi.org/10.1186/s13063-015-1130-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696154PMC
December 2015
30 Reads

Glans ischemia after circumcision and dorsal penile nerve block: Case report and review of the literature.

Urol Ann 2015 Oct-Dec;7(4):541-3

Department of Urology, Hospital del Henares, Coslada, Madrid, Spain.

Circumcision is an easy commonly performed surgical procedure in childhood. However, it is not free of a low number of complications, (1-5-5%). Here we report a case of a 3-year-old boy with glans superficial necrosis after circumcision, managed with topical (nitroglycerin, gentamicin), oral (pentoxifylline) and epidural (urgent caudal block with bupivacaine) treatment. Read More

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http://dx.doi.org/10.4103/0974-7796.164862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660716PMC
December 2015
10 Reads

A new ultrasound-guided dorsal penile nerve block technique for circumcision in children.

Anaesth Intensive Care 2015 Sep;43(5):662-3

Whenzhou, China.

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September 2015
1 Read

Investigation of the effect of dorsal penile block to penile tissue.

J Pediatr Urol 2015 Oct 4;11(5):268.e1-5. Epub 2015 Jun 4.

Department of Pediatric Surgery, Kırıkkale University, Medical Faculty, Kırıkkale, Turkey. Electronic address:

Background: Dorsal penile block (DPB) is a frequently used technique for regional anesthesia, but the effect of DPB on penile tissue has not been reported so far.

Objective: An experimental study was conducted to evaluate the acute effects of DPB on penile tissue.

Methods: Eighteen male rats were included and randomly assigned to three groups. Read More

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http://dx.doi.org/10.1016/j.jpurol.2015.04.025DOI Listing
October 2015
6 Reads

Surgical anatomy of the pudendal nerve and its branches in South Africans.

Int J Impot Res 2015 Jul 11;27(4):128-32. Epub 2015 Jun 11.

Department of Surgery and Urology, University Hospital of North Norway, Tromsø, Norway.

Dissection of the pudendal nerve (PN) and its branches in 71 cadavers revealed anatomic variations not previously described. Knowledge of this variation is necessary to prevent nerve injury resulting in sexual of sensory dysfunction. Because descriptions vary, this study re-evaluated the anatomy of the PN as implicated in perineal procedures in South Africans. Read More

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http://www.nature.com/articles/ijir201510
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http://dx.doi.org/10.1038/ijir.2015.10DOI Listing
July 2015
6 Reads

Ultrasound-guided dorsal penile nerve block for ED paraphimosis reduction.

Am J Emerg Med 2015 Jun 26;33(6):863.e3-5. Epub 2014 Dec 26.

Department of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, CA; Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA.

Adequate anesthesia for emergency department management of painful penile conditions such as paraphimosis or priapism is often both technically challenging and inconsistent using traditional landmark-based techniques of the dorsal penile block (DPB). The pudendal nerves branch to form the paired dorsal nerves of the penis providing sensory innervation to the skin of both the dorsal and ventral aspects of the penis. "Blind" DPB techniques tend to rely on subtle tactile feedback from the needle and visual landmark approximation to identify the appropriate subpubic fascial compartment for injection. Read More

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http://dx.doi.org/10.1016/j.ajem.2014.12.041DOI Listing
June 2015
8 Reads

[Severe local anesthetic intoxication in an infant undergoing circumcision].

Arch Pediatr 2015 Mar 15;22(3):303-5. Epub 2014 Nov 15.

Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, université Claude-Bernard Lyon 1, 59, boulevard Pinel, 69677 Bron, France.

Local anesthetic intoxication is an uncommon complication of regional anesthesia. We report the case of a 4-month-old infant who presented with generalized tonic-clonic seizure complicated by cardiac arrest secondary to a severe intoxication to local anesthesia. These complications were observed after a bilateral dorsal penile nerve block with lidocaine for circumcision in a non-hospital setting. Read More

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http://dx.doi.org/10.1016/j.arcped.2014.10.023DOI Listing
March 2015
2 Reads

Pediatric ambulatory anesthesia.

Anesthesiol Clin 2014 Jun 18;32(2):411-29. Epub 2014 Apr 18.

Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, GRB-415, Boston, MA 02114, USA.

Pediatric patients often undergo anesthesia for ambulatory procedures. This article discusses several common preoperative dilemmas, including whether to postpone anesthesia when a child has an upper respiratory infection, whether to test young women for pregnancy, which children require overnight admission for apnea monitoring, and the effectiveness of nonpharmacological techniques for reducing anxiety. Medication issues covered include the risks of anesthetic agents in children with undiagnosed weakness, the use of remifentanil for tracheal intubation, and perioperative dosing of rectal acetaminophen. Read More

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http://dx.doi.org/10.1016/j.anclin.2014.02.002DOI Listing
June 2014
6 Reads

Dorsal penile nerve block for robot-assisted radical prostatectomy catheter related pain: a randomized, double-blind, placebo-controlled trial.

Springerplus 2014 7;3:181. Epub 2014 Apr 7.

Department of Urology, Columbia University Medical Center, New York, NY 10032 USA.

Purpose: Following Robotic-Assisted Radical Prostatectomy (RARP) patients routinely have penile pain and urethral discomfort secondary to an indwelling urethral catheter. Our objective was to assess the effect of dorsal penile nerve block with bupivacaine on urethral catheter-related pain after RARP.

Methods: From 2012-2013, 140 patients with organ-confined prostate cancer were enrolled in an IRB approved double-blinded, randomized control trial comparing a dorsal penile nerve block of bupivacaine versus placebo after RARP performed by a single-surgeon. Read More

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http://dx.doi.org/10.1186/2193-1801-3-181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004790PMC
May 2014
57 Reads

Comparison of eutectic mixture of local anesthetics cream with dorsal penile nerve block using lignocaine for circumcision in infants.

Pak J Med Sci 2013 Jan;29(1):27-30

Soofia Ahmed, Dept. of Paediatric Surgery, National Institute of Child Health, Rafiquee Shaheed Road, Karachi-75510, Pakistan.

Objective: Circumcision is a commonly performed surgical procedure but choice of anesthesia remained an issue of research and debate. This study was conducted to find out the effectiveness of the eutectic mixture of local anesthetic (EMLA) cream with dorsal penile nerve block (DPNB) using lignocaine, for reduction of pain during circumcision.

Methodology: This was comparative study carried out in Surgical Unit B of National Institute of Child Health Karachi, from May 2008 to October 2008. Read More

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http://dx.doi.org/10.12669/pjms.291.2944DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809213PMC
January 2013
4 Reads

Acupuncture assisted local anesthesia for penile surgeries.

Transl Androl Urol 2013 Dec;2(4):291-300

National Taiwan University Hospital, Jin-Shan Branch, New Taipei, Taiwan.

Although the mechanism of acupuncture for analgesia is not fully elucidated, a combination of acupuncture and several methods of topical blocks for local anesthesia has been effective to patients with indications for penile surgeries on ambulatory basis. We sought to review this unique clinical application since 1998. To summarize practice-based medical literature contingent this unique application and, in contrast, the commonly agreed either general or spinal anesthesia concerning those surgeries on this most sensitive organ-the delicate penis. Read More

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http://dx.doi.org/10.3978/j.issn.2223-4683.2013.12.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708112PMC
December 2013
10 Reads

Surgical treatment of nervus pudendus.

Bratisl Lek Listy 2013 ;114(11):657-61

An objective of our work was to clarify variations in pudendal nerve formation, as well as their possible impact on the clinical picture.Bilateral pudendal nerve course and formation was studied on 20 adult cadavers. Anterior approach was used in 15 of them, both posterior and anterior approaches were used in five of them. Read More

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February 2014
6 Reads

A prospective evaluation of plastibell® circumcision in older children.

Int Braz J Urol 2013 Jul-Aug;39(4):558-64

Division of Urology, Department of Surgery Federal University of Juiz de Fora, Juiz de Fora, MG.

Introduction And Objective: Circumcision is one of the oldest surgical procedures and one of the most frequently performed worldwide. It can be done by many different techniques. This prospective series presents the results of Plastibell® circumcision in children older than 2 years of age, evaluating surgical duration, immediate and late complications, time for plastic device separation and factors associated with it. Read More

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http://www.scielo.br/pdf/ibju/v39n4/1677-5538-ibju-39-04-558
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http://dx.doi.org/10.1590/S1677-5538.IBJU.2013.04.14DOI Listing
January 2014
9 Reads

Analgesia for infants' circumcision.

Ital J Pediatr 2013 Jun 13;39:38. Epub 2013 Jun 13.

Department of Paediatrics, Obstetrics and Reproductive Medicine, University of Siena, Policlinico Santa Maria alle Scotte, Viale Bracci 2, Siena, Italy.

Male circumcision (MC) is one of the oldest and most common operations performed all over the world. It can be performed at different ages, using different surgical techniques, for different religious, cultural and medical reasons.Our aim is to examine and compare the various methods of analgesia and different surgical procedures reported in literature that are applied in infant MC. Read More

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http://dx.doi.org/10.1186/1824-7288-39-38DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3702488PMC
June 2013
16 Reads

Levobupivacaine for postoperative pain management in circumcision: caudal blocks or dorsal penile nerve block.

Agri 2012 ;24(4):180-6

Department of Anesthesiology and Reanimation, Ufuk University, Faculty of Medicine, Ankara, Turkey.

Objectives: In this study, we evaluated the analgesic efficacy and adverse effect profile of levobupivacaine in caudal and DPNB in postcircumcision pediatric patients.

Methods: Sixty boys between 2-10 years of age undergoing circumcision were enrolled. The patients were divided into two groups: Group C (n=30) and Group P (n=30) were applied caudal block or dorsal penile nerve block (DPNB), respectively. Read More

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http://dx.doi.org/10.5505/agri.2012.21931DOI Listing
August 2015
4 Reads

Surgical location and anatomical variations of pudendal nerve.

ANZ J Surg 2012 Dec 19;82(12):935-8. Epub 2012 Sep 19.

Department of Neurosurgery, Medical Faculty, Comenius University, Bratislava, Slovak Republic.

Background: An objective of our work was to clarify variations in pudendal nerve formation, as well as their possible impact on the clinical picture.

Method: Bilateral pudendal nerve course and formation was studied on 20 adult cadavers. An anterior approach was used in 15 subjects, and both posterior and anterior approaches were used in five subjects. Read More

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http://doi.wiley.com/10.1111/j.1445-2197.2012.06272.x
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http://dx.doi.org/10.1111/j.1445-2197.2012.06272.xDOI Listing
December 2012
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Assessment of pain and hemodynamic response in older children undergoing circumcision: comparison of eutectic lidocaine/prilocaine cream and dorsal penile nerve block.

J Pediatr Urol 2013 Oct 13;9(5):638-42. Epub 2012 Aug 13.

Department of Anesthesiology, Federal University of Juiz de Fora, Brazil.

Objective: To evaluate whether dorsal penile nerve block (DPNB) or local topical anesthesia (LT) provided better postoperative analgesia and less hemodynamic stimulation during and after circumcision surgery with Plastibell in older children.

Methods: Forty-one subjects (age: 2-13 years) undergoing circumcision with Plastibell were randomly divided into LT and DPNB groups. Inhalation induction was performed with an 8% end-tidal sevoflurane concentration. Read More

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http://dx.doi.org/10.1016/j.jpurol.2012.07.013DOI Listing
October 2013
6 Reads

Effective penile block for circumcision in adults.

Wien Klin Wochenschr 2012 Jul 26;124(13-14):434-8. Epub 2012 Jul 26.

Department of Urology, Corlu Military Hospital, Tekirdag, Turkey.

Background: The dorsal nerve block of the penis during circumcision has not been standardized and the effectiveness of the block can be changeable. The aim of this study was to determine which technique is more suitable for blocking sensory innervations of penis.

Methods: This prospective study was done on adults who voluntarily applied to be circumcised. Read More

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http://dx.doi.org/10.1007/s00508-012-0195-0DOI Listing
July 2012
56 Reads

Dorsal penile nerve block prior to inflatable penile prosthesis placement: a randomized, placebo-controlled trial.

J Sex Med 2012 Nov 29;9(11):2975-9. Epub 2012 May 29.

Division of Urology, The University of North Carolina School of Medicine, Chapel Hill, NC 27599-7235, USA.

Introduction: Dorsal penile nerve block (DPNB) has been previously shown to provide effective analgesia for penile surgeries. To date, few studies have examined the role of DPNB prior to inflatable penile prosthesis (IPP) implantation.

Aim: The purpose of this study was to assess the efficacy of local penile nerve block prior to IPP implantation for postoperative pain control. Read More

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http://dx.doi.org/10.1111/j.1743-6109.2012.02756.xDOI Listing
November 2012
3 Reads