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Related Experiment Videos

Ischemic glans penis after circumcision.

Yuan-Sheng Tzeng1, Shou-Hung Tang, En Meng

  • 1Division of Urology, Department of Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road (Sec. 2), Nei-Hu 114, Taipei, China. sheng@banhome.com

Asian Journal of Andrology
|May 22, 2004
PubMed
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A dorsal penile nerve block for circumcision caused penile ischemia 24 hours post-procedure. Treatment with pentoxifylline and hyperbaric oxygenation successfully reversed the ischemic changes.

Area of Science:

  • Urology
  • Anesthesiology
  • Vascular Surgery

Background:

  • Circumcision is a common surgical procedure.
  • Dorsal penile nerve block (DPNB) is frequently used for analgesia during circumcision.
  • Penile ischemia is a rare but serious potential complication.

Observation:

  • A 33-year-old male developed ischemic changes on the glans penis 24 hours after DPNB for circumcision.
  • The ischemic event occurred postoperatively, indicating a delayed complication.

Findings:

  • Intravenous pentoxifylline and hyperbaric oxygenation were administered for treatment.
  • Complete reversal of the observed penile ischemia was achieved with the combined therapy.

Implications:

Related Experiment Videos

  • This case highlights a rare complication of DPNB for circumcision.
  • Prompt recognition and combined treatment with pentoxifylline and hyperbaric oxygenation can effectively manage penile ischemia.
  • Further research into the mechanisms and prevention of DPNB-induced ischemia is warranted.