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Multicomponent penile prosthesis implantation under regional anesthesia.

A Das1, M Soroush, P Maurer

  • 1Department of Urology, Thomas Jefferson University, Philadelphia, Pennyslvania 19107, USA.

Techniques in Urology
|August 24, 1999
PubMed
Summary
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Pudendal nerve block anesthesia for penile prosthesis surgery is safe and effective. This technique minimizes narcotic use and allows most patients to go home within 24 hours, avoiding general anesthesia risks.

Area of Science:

  • Urology
  • Anesthesiology
  • Surgical Innovation

Background:

  • Penile prosthesis implantation is a common urological procedure.
  • General or spinal anesthesia are typically used, carrying potential risks and morbidities.
  • Regional anesthesia offers a potential alternative for improved patient outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of pudendal nerve block for penile prosthesis surgery.
  • To assess the need for intraoperative narcotics and hemodynamic stability.
  • To determine postoperative outcomes including analgesia and discharge times.

Main Methods:

  • Fourteen consecutive patients received multicomponent penile prostheses.
  • Procedures were performed under regional anesthesia utilizing a pudendal nerve block.

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  • Intraoperative monitoring and postoperative assessments were conducted.

    • Main Results:

    • Minimal intraoperative narcotic administration was required.
    • No significant blood pressure or pulse rate fluctuations were observed.
    • Only one patient required conversion to general anesthesia; no urinary retention or cardiac side effects occurred.
    • Postoperative analgesia was adequate, with 13 of 14 patients discharged within 24 hours.

    Conclusions:

    • Pudendal nerve block is a safe and effective anesthetic technique for penile prosthesis placement.
    • This method avoids the morbidity associated with general or spinal anesthesia.
    • The procedure is easily performed and facilitates rapid patient recovery and discharge.