Nerve Block: Penile: Difference between revisions
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==Indications== | ==Indications== | ||
* | *[[Priapism]] | ||
*Penile Laceration repair | *Penile Laceration repair | ||
*Penile fracture | *[[Penile fracture]] | ||
==Contraindications== | ==Contraindications== | ||
* | *Infection overlying injection site | ||
==Equipment Needed== | ==Equipment Needed== | ||
* | *Local anesthetic | ||
*Chloraprep | *Chloraprep | ||
*Syringe with blunt fill needle and 27ga needle | |||
==Procedure== | ==Procedure== | ||
[[File:24061tn.jpg|thumb|]] | |||
*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== | ==Complications== | ||
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==See Also== | ==See Also== | ||
*[[Nerve blocks (main)]] | *[[Nerve blocks (main)]] | ||
*[[Local anesthetic systemic toxicity]] | |||
*[[Priapism]] | *[[Priapism]] | ||
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[[Category:Procedures]] | [[Category:Procedures]] | ||
[[Category:Urology]] | |||
Revision as of 03:09, 6 February 2017
Overview
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