Nerve Block: Penile: Difference between revisions
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==Indications== | ==Indications== | ||
* Priaprism | *Priaprism | ||
* Penile Laceration repair | *Penile Laceration repair | ||
* Penile fracture | *Penile fracture | ||
==Contraindications== | ==Contraindications== | ||
* Do not inject over area of cellulitis | *Do not inject over area of cellulitis | ||
==Equipment Needed== | ==Equipment Needed== | ||
* 1% Lidocaine w/ or w/o epinephrine | *1% Lidocaine w/ or w/o epinephrine | ||
* 18 gauge needle for drawing up lidocaine | *18 gauge needle for drawing up lidocaine | ||
* 27 gauge needle for injection | *27 gauge needle for injection | ||
* Chloraprep | *Chloraprep | ||
==Procedure== | ==Procedure== | ||
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==Complications== | ==Complications== | ||
* Damage of nearby vessels | *Damage of nearby vessels | ||
* Damage to urethra | *Damage to urethra | ||
* Permanent loss of sensation | *Permanent loss of sensation | ||
==See Also== | ==See Also== | ||
Revision as of 11:11, 4 July 2016
Overview
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