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Efficiency and Patient Satisfaction of Local Anesthesia Use in Surgical Circumcision in Adults-A Retrospective Cohort

Ronen Rub1, Ghalib Lidawi1, Alaa Masoud1

  • 1Department of Urology, Hillel Yaffe Medical Center, Haifa, Israel, hy.health.gov.il.

Biomed Research International
|May 30, 2026
PubMed

Insights

Dorsal penile nerve block (DPNB) effectively manages pain during adult circumcision, with high patient satisfaction. This local anesthetic technique offers a safe alternative to general anesthesia for the procedure.

Area of Science:

  • Urology
  • Anesthesiology
  • Surgical Procedures

Background:

  • Circumcision is a common pediatric surgery, but adult circumcision research on pain management is scarce.
  • Existing literature on analgesic methods for adult circumcision is limited and outdated.

Purpose of the Study:

  • To assess the efficacy and patient satisfaction of dorsal penile nerve block (DPNB) for adult circumcision.
  • To evaluate DPNB as a perioperative anesthetic and postoperative analgesic in adult circumcision patients.

Main Methods:

  • Retrospective analysis of 39 adult circumcision cases between 2015-2020.
  • Data collection focused on DPNB efficacy and patient satisfaction levels.

Main Results:

  • DPNB demonstrated perioperative efficacy, with 67% reporting no procedural pain.
  • No patients required general anesthesia; 12% experienced mild pain.
  • Post-surgery, 10% reported no pain, and 87% were satisfied with the analgesic effect.

Conclusions:

  • DPNB provides adequate analgesia for adult circumcision, potentially replacing general anesthesia.
  • Further research with larger cohorts is needed to confirm findings and assess postoperative outcomes.
Abstract

Keywords:
adult patientscircumcisionlocal anesthesia

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