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Penile block via the subpubic space in 100 children
B Dalens1, G Vanneuville, P Dechelotte
1Department of Anesthesiology, Hôtel-Dieu Hospital, Clermont-Ferrand, France.
Anesthesia and Analgesia
|July 1, 1989
Summary
A new subpubic approach safely blocks penile dorsal nerves in children. Bupivacaine provided longer pain relief than lidocaine after penile surgery.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Anatomy
Background:
- Reevaluation of penile anatomy led to a novel dorsal nerve block technique.
- The subpubic space is identified as a key area for targeting penile nerves.
Purpose of the Study:
- To describe and evaluate a new technique for blocking the dorsal nerves of the penis in children.
- To assess the safety, efficacy, and pain relief duration of this nerve block.
Main Methods:
- A prospective study involving 100 children undergoing penile surgery.
- A two-puncture technique injecting local anesthetic into the subpubic space.
- Comparison of 1% lidocaine versus 0.5% bupivacaine for anesthesia.
Main Results:
- The subpubic nerve block technique was successful in all patients.
- No complications were observed; anesthesia was adequate for surgery.
- Bupivacaine resulted in significantly longer postoperative pain relief compared to lidocaine.
Conclusions:
- The subpubic approach to the dorsal penile nerves is a safe, easy, and reliable method.
- 0.5% plain bupivacaine offers effective and long-lasting postoperative pain management in pediatric penile surgery.