Multicomponent penile prosthesis implantation under regional anesthesia

Fourteen consecutive patients underwent placement of a multicomponent penile prosthesis under regional anesthesia using a pudendal nerve block. Results demonstrated the need for minimal administration of intraoperative narcotics, no major fluctuations in the blood pressure or pulse rate during intraoperative monitoring, and only 1 of 14 patients was converted to general anesthesia. Postoperatively, our results show that there was no urinary retention or cardiac side effects, adequate postoperative analgesia was obtained, and 13 of the 14 patients were discharged within 24 hours. This method was safe, effective, easily performed, and does not carry the associated morbidity of general or spinal anesthesia.