Nerve Block of the Penis for Postoperative Pain Relief in Children

Soliman, M. G.; Tremblay, Normand

doi:10.1213/00000539-197807000-00024

Cited by 64 publications

(24 citation statements)

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“…In addition, narcotics have systemic side effects. Among these procedures, the method of dor sal nerve block appears to be most reasonable and less invasive [3][4][5][6][7]9], Nevertheless, dorsal nerve block as described by some authors appears to be technically diffi cult and to involve a risk of damaging the dorsal vessels of the penis [4,5,9].…”

Section: Discussionmentioning

confidence: 99%

“…Superficial operation on the penis occasionally causes severe postoperative pain in children, although the surgical procedure itself is minor. Several anesthetic tech niques have been devised for such patients [3][4][5][6][7][8][9]. Penile block appears to be the most dependable technique be cause it affords great relief from pain by blocking the nerves that supply sensory innervation to the foreskin and glans [3][4][5][6]9], Recently, Dalens et al [10] found that the dorsal nerves of the penis could be safely approached by subpub Received: Februar>' 8,1994 Accepted: April 15.…”

Section: Introductionmentioning

confidence: 99%

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Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

et al. 1994

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Penile nerve block via the subpubic space was performed to relief the postoperative pain of children who underwent superficial surgery of the penis. Thirty-one male children were subdivided into two groups. After dorsal slit procedure had been carried out under general anesthesia, 16 patients underwent subpubic penile nerve block (group 1), while 15 patients had no additional anesthetic procedure (group 2). Time to the first postoperative pain in group 1 was statistically longer than that in group 2 (p < 0.05). Most patients in group 1 did not require postoperative analgesics during the first 24 h after surgery. This technique appeared to be effective in relieving the postoperative pain of children who underwent superficial operation of the penis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

et al. 1994

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“…With downward traction of the penis, a 25-gauge needle is directed medially and caudally until Buck's fascia is penetrated at 10:30 and 1:30 and a characteristic "pop" is felt. Frequent aspiration is necessary due to the close proximity of the dorsal vessels at this location [126][127][128][129] .…”

Section: Penile Nerve Blockmentioning

confidence: 99%

Regional Anesthetic Techniques for the Pediatric Patient

Fritz

Barnhouse

Ramadhyani

et al. 2011

Essentials of Regional Anesthesia

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“…1 Circumcision performed under general anaesthesia (GA) with penile nerve block as an analgesic technique for postoperative pain reported to have good post operative analgesia as well as good patient'satisfaction than GA alone. It is simple to perform, safe, and effective for postoperative analgesia.…”

Section: Introductionmentioning

confidence: 99%

Penile nerve block at the base of penis in combination with intravenous ketamin plus midazolam versus general anaesthesia(GA) in children undergoing circumcision for post operative pain management in the Eastern Nepal

2014

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Adequate post operative analgesia in children provides satisfactory psychological objective of this study was to compare the post operative analgesia requirement and child satisfaction between two groups, general anaesthesia(GA) alone and GA in combination with penile nerve block. This prospective randomized study was conducted in 50 children aged 6 to 14 years, who underwent circumcision. The boys were randomly allocated into two groups. Group A (n = 25) received GA with Single shot ketamin 2mg/kg IV plus midazolam 0.1 mg/kg and dorsal penile nerve block at the base of penis prior to circumcision with and Group B (n = 25) received GA with ketamine 2mg/kg IV plus midazolam 0.1 mg/kg plus halothane by laryngeal mask. Severity of pain was assessed quantitatively by children's hospital eastern Ontario pain scale (CHEOPS). The pain intensity was assessed at one hour A1 in group A and B1 for group B and at two hourA2 for group A and B2 for group B during postoperatively period for two hours. Statistical analysis was done by SPSS method. The post operative analgesia was satisfactory with CHEOPS score 6 or <6 in group A 1. In group A 2 twenty two out of twenty five cases had CHEOPS score <6.Where as in group B1 and B2 it was > 6 .Which was statistically 100% significant. In conclusion, combined penile nerve block in combination with intravenous ketamine plus midazolam is the satisfactory method of Post operative pain management in children undergoing circumcision.

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Nerve Block of the Penis for Postoperative Pain Relief in Children

Cited by 64 publications

References 0 publications

Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

Regional Anesthetic Techniques for the Pediatric Patient

Penile nerve block at the base of penis in combination with intravenous ketamin plus midazolam versus general anaesthesia(GA) in children undergoing circumcision for post operative pain management in the Eastern Nepal

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