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[Penile block in adults].

J P Pertek1, E Junke, A Coissard

  • 1Département d'Anesthésie-Réanimation, CHU de Brabois, Vandoeuvre-lès-Nancy.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1992
PubMed
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Penile nerve blocks offer effective regional anesthesia for adult penile surgeries. The bilateral technique demonstrated superior anesthetic diffusion compared to the median approach, ensuring excellent postoperative pain relief.

Area of Science:

  • Anesthesiology
  • Urology

Context:

  • Penile surgeries require effective anesthesia for patient comfort and surgical success.
  • Regional anesthesia techniques, like penile nerve blocks, aim to provide targeted pain relief.

Purpose:

  • To evaluate the efficacy and diffusion patterns of two penile nerve block techniques (median and bilateral) in adults.
  • To compare the quality and duration of postoperative analgesia provided by these techniques.

Summary:

  • The study compared median and bilateral penile nerve block techniques in 80 adult patients undergoing penile surgery.
  • The bilateral technique showed better anesthetic diffusion, leading to excellent postoperative analgesia averaging 10 hours.
  • Bupivacaine 0.25% or 0.5% without adrenaline was used; additional infiltration improved analgesia.

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Impact:

  • Penile nerve block is a reliable, easy-to-perform, and patient-comfortable regional anesthesia option for penile surgery.
  • The bilateral technique is substantiated as valuable for achieving effective sensory blockade in adults.
  • This technique can be recommended for adults requiring foreskin, glans, or penile shaft surgery.