Nerve Block: Penile

Overview

Dorsal anatomy of the penis.

Indications

• Priapism
• Penile Laceration repair
• Penile fracture

Contraindications

• Infection overlying injection site

Equipment Needed

• Local anesthetic
• Chloraprep
• Syringe with blunt fill needle and 27ga needle

Procedure

• Obtain informed consent
• Draw up 2-5cc of local anesthetic
• Clean area of injection
• Using 27G needle, insert at 2 and 10 o'clock position at base of penis for dorsal nerve block
  • Alternatively, inject anesthetic in complete ring around base of penis for complete block
  • Note: nerves lay below buck's fascia.

Complications

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

See Also

• Nerve blocks (main)
• Local anesthetic systemic toxicity
• Priapism