178 results match your criteria Nerve Block Dorsal Penile


Comparison of Caudal Block vs. Penile Block vs. Intravenous Fentanyl Only in Children Undergoing Penile Surgery: A Prospective, Randomized, Double Blind Study.

Front Pediatr 2021 26;9:654015. Epub 2021 Mar 26.

Department of Pediatric Urology, Tel Aviv University, Tel Aviv, Israel.

Penile surgery is commonly performed in pediatric surgical centers. There is no consensus regarding which analgesic method is most effective in controlling pain in these children. Consecutive children between 4 months and 16 years of age who underwent elective penile surgery were recruited. Read More

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Palliative Nerve Block for Penile Calciphylaxis: A Case Report on Ultrasound-Guided Phenol Neurolysis.

A A Pract 2021 Mar 8;15(3):e01416. Epub 2021 Mar 8.

From the Department of Anesthesiology, Grand Strand Regional Medical Center, Myrtle Beach, South Carolina, and Graduate Medical Education, HCA Healthcare, Nashville, Tennessee.

A 78-year-old man with uncontrolled diabetes, heart failure, and hemodialysis-dependent end-stage renal disease presented with intractable penile pain secondary to calciphylaxis and necrosis of his glans penis. Given pain refractory to pharmacologic management and refusal of surgery, treatment entailed an ultrasound-guided dorsal penile nerve block with 5 mL of aqueous 4% phenol bilaterally. The patient reported immediate relief and died pain-free 3 months later. Read More

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Intraoperative Strategies to Reduce Catheter-Related Bladder Discomfort in the Early Postoperative Period after Robot-Assisted Radical Prostatectomy.

J Urol 2021 Jun 19;205(6):1671-1680. Epub 2021 Feb 19.

Department of Urology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.

Purpose: Catheter-related bladder discomfort occurs in up to 63% of patients following robot-assisted radical prostatectomy. The optimal intraoperative anesthesia regime to prevent patients from catheter-related bladder discomfort is unknown.

Materials And Methods: A prospective cohort analysis was conducted. Read More

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A randomised-controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter-related bladder discomfort and pain.

Int J Clin Pract 2021 May 11;75(5):e13963. Epub 2021 Jan 11.

Department of Anaesthesiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

Purpose: In the present study, the impact of penile nerve block (PNB) on postoperative pain and Catheter-Related Bladder Discomfort (CRBD) in the transurethral resection of prostate(TURP) patients were evaluated.

Methods: Participants of the present study were selected from patients who performed TURP under spinal anaesthesia for benign prostatic hyperplasia (BPH) between January 2018 and July 2020. The present study was planned as a single-centre, randomised-controlled prospective study in which the patients were divided into two groups. Read More

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Pain control in neonatal male circumcision: A best evidence review.

J Pediatr Urol 2021 02 24;17(1):3-8. Epub 2020 Sep 24.

Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:

Objective: Routine male infant circumcision (RMIC) is a common procedure that inadvertently causes significant but preventable pain. In this best evidence review, we examine the available pain management options and their effectiveness for RMIC.

Material And Methods: The Medline (OVID) and Cochrane library were searched for randomized controlled trials investigating pain control for RMIC. Read More

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February 2021

A Comparison of the Postoperative Analgesic Effectiveness of Ultrasound-Guided Dorsal Penile Nerve Block and Ultrasound-Guided Pudendal Nerve Block in Circumcision.

Urol Int 2020 13;104(11-12):871-877. Epub 2020 Aug 13.

Department of Pediatric Surgery, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.

Aim: The aim of this study was to compare the postoperative analgesic effectiveness of the 2 block types. We also aimed to evaluate the effect of these block types on the postoperative complications and parental satisfaction.

Materials And Methods: This prospective observational study was conducted between April and July 2019 at a training and research hospital. Read More

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[Surgical anesthesia using ultrasound-guided penile nerve block for adult hemophilia patient].

Agri 2020 Aug;32(3):162-163

Department of Anesthesiology, Kocaeli University, Kocaeli, Turkey.

Ultrasound-Guided Dorsal Penile Nerve (DPNB) Block was performed to provide surgical anesthesia for a 22 years old ASA II patient who had hemophilia A and was undergoing circumcision surgery. 20 ml of 0.25% bupivacaine was used for the DPNB. Read More

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Efficacy and safety of dorsal penile nerve block before collagenase of clostridium histolyticum injections in peyronie's disease patients: Results from a prospective pilot study.

Andrologia 2020 Nov 11;52(10):e13740. Epub 2020 Aug 11.

Department of Urology, Instituto de Investigación Sanitaria Hospital, Universitary Hospital 12 de Octubre, Madrid, Spain.

The intraplaque injection of collagenase from Clostridium Histolyticum (CCH) was established as an effective therapeutic alternative for selected patients with Peyronie's disease (PD). There is no consensus on the use of pre-procedure anaesthesia. The aim of this pilot study was to assess the efficacy and safety of dorsal penile block before CCH injections in reducing procedure related pain. Read More

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November 2020

Caudal epidural block versus ultrasound-guided dorsal penile nerve block for pediatric distal hypospadias surgery: A prospective, observational study.

J Pediatr Urol 2020 Aug 20;16(4):438.e1-438.e8. Epub 2020 May 20.

Prof.Dr. Cemil Tascioglu City Hospital, Department of Pediatric Surgery, Kaptan Paşa, SSK Okmeydanı Hst. No:25, 34384, Şişli, İstanbul, Turkey. Electronic address:

Background: The surgery of hypospadias is very painful in the postoperative period and requires long-term analgesia. A dorsal penile nerve block (DPNB) and caudal epidural block (CEB) are commonly used regional anesthesia techniques for postoperative pain control.

Objectives: The primary aim of the prospective, observational study was to use the duration until the first postoperative analgesic requirement after two different block techniques to compare the analgesic effect. Read More

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Analysis of satisfaction and surgical outcomes of a major ambulatory surgery program for penile implant.

Actas Urol Esp 2020 06 6;44(5):262-267. Epub 2020 Mar 6.

Departamento de Urología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.

Introduction And Objective: Penile prosthesis (PP) surgery is performed in many institutions as an inpatient procedure. We have recently initiated a major ambulatory surgery (MAS) program, thus reducing the hospital stay. The objective of this study was to assess the feasibility, complications and satisfaction of the implantation of outpatient surgery PP program in our hospital. Read More

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Management of post-circumcision necrosis of the penis: the medicolegal aspect.

Pediatr Surg Int 2020 Apr 22;36(4):523-528. Epub 2020 Feb 22.

The Council of Forensic Medicine, Istanbul, Turkey.

Purpose: To perform a medical evaluation of penile necrosis causes and treatment approaches by examining patients who had penile necrosis after circumcision surgery.

Methods: A total of 24 patients with penile necrosis after circumcision surgery, who presented at various hospitals in Turkey between September 2003 and April 2013 and whose cases were being reviewed at the Institution of Forensic Medicine with regard to malpractice, were evaluated retrospectively.

Results: The mean age of the patients was 5 ± 3. Read More

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Comparison of the efficacy of eutectic mixture of local anesthetics (EMLA) and dorsal penile nerve block (DPNB) in neonatal circumcision.

Niger J Clin Pract 2019 Dec;22(12):1737-1741

Urology Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.

Background: Neonates feel pain. There is a concern among practitioners that pain of injecting analgesics to neonates prior to circumcision could as well be the same as the pain of the procedure. This has made many reluctant to offer effective analgesia for circumcision. Read More

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December 2019

A comparison of the postoperative analgesic effectiveness of low dose caudal epidural block and US-guided dorsal penile nerve block with in-plane technique in circumcision.

J Pediatr Urol 2020 Feb 30;16(1):99-106. Epub 2019 Oct 30.

Okmeydanı Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey. Electronic address:

Background: Circumcision can be performed under sedo-analgesia, general anesthesia, or regional anesthesia. It may cause serious postoperative pain and patients often require additional analgesia. Dorsal penile nerve block (DPNB) and caudal epidural block are commonly used regional anesthesia methods to provide effective postoperative pain control in circumcision. Read More

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February 2020

Complications of subcutaneous penile modifications: a discussion of emergency department presentations and management.

Int J Emerg Med 2019 Aug 27;12(1):22. Epub 2019 Aug 27.

Department of Emergency Medicine, Texas Tech University Health Sciences Center El Paso, 210 N. Rick Francis, El Paso, TX, 79905, USA.

Background: Subcutaneous penile modifications (SPMs) are more prevalent in Southeast Asian culture and have been growing in popularity in Western culture. SPMs are often made of domino tiles, or other available pieces of plastic, shaved into a desired shape and placed in unsterile conditions. Previous literature indicates a high risk of infection and the need for surgical removal. Read More

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Ultrasound-guided dorsal penile nerve block vs neurostimulator-guided pudendal nerve block in children undergoing hypospadias surgery: A prospective, randomized, double-blinded trial.

Paediatr Anaesth 2019 10 2;29(10):1046-1052. Epub 2019 Sep 2.

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

Background And Aims: Hypospadias is a common congenital malformation in pediatric patients. Surgical repair of this malformation is a painful procedure and has long-term effects. Pudendal and penile nerve blocks are commonly preferred techniques for maintaining postoperative analgesia. Read More

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October 2019

The safety and efficacy of dorsal penile nerve block for premature ejaculation: A systematic review and meta-analysis.

Medicine (Baltimore) 2019 Jul;98(30):e16479

Department of Surgery, Beijing Changping Hospital of Traditional Chinese Medicine.

Background: Premature ejaculation is a common sexual dysfunction disease in adult males. There are many clinical trials shown that dorsal penile nerve block can prolong the ejaculation latency to a certain extent in the vagina. In this study, we aim to use a meta-analysis to evaluate the efficacy and safety of dorsal penile nerve block for premature ejaculation. Read More

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Dorsal Penile Nerve Block via Perineal Approach, an Alternative to a Caudal Block for Pediatric Circumcision: A Randomized Controlled Trial.

Biomed Res Int 2019 27;2019:6875756. Epub 2019 Mar 27.

Department of Anesthesiology, Critical Care and Pain Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.

Background: General anesthesia combining with a caudal block (CB) has been commonly performed in pediatric patients undergoing circumcision surgeries. However, some severe complications have been suspected of a caudal block in the combined use. To avoid these issues of a caudal block, this study introduces a novel dorsal penile nerve block (DPNB) via perineum guided by ultrasound as an alternative to a caudal block in pediatric circumcision surgeries. Read More

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

Reg Anesth Pain Med 2019 02;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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February 2019

Ultrasound-Guided Dorsal Penile Neurolysis for Malignant Priapism Pain Management.

J Pain Symptom Manage 2019 02 26;57(2):e4-e5. Epub 2018 Oct 26.

Clínica de Dolor, Instituto Nacional de Cancerología, México.

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February 2019

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

J Anesth 2019 04 2;33(2):197-208. 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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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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November 2018

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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January 2018

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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February 2019

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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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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[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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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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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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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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December 2017