Regional anaesthesia for circumcision in adults: a comparative study

Peter Szmuk, Tiberiu Ezri, Herzel Ben Hur, Benjamin Capi, Lilia Priscu, Virgil Priscu

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Penile block (PB) in adults is not a well-recognized technique. The aim of this study was to compare, in a randomized prospective manner, five different techniques of PB in 250 adults undergoing circumcision with regard to anaesthetic quality, complications and postoperative analgesia. Patients were divided into five groups (50 per group) according to the technique used: Group A - "10, 30-13, 30" approach; Group B - the subpubic approach; Group C - subcutaneous ring block; Group D - a combination of frenulum infiltration and the "10, 30-13, 30" approach; Group E - a combination of frenulum infiltration and the subpubic approach. The number of failed blocks in Groups A and B (41 and 43 respectively) was greater than in Groups C, D and E (2, 3 and 5 respectively) (P < 0.001). The five groups did not differ with regard to adverse effects or time until the onset of postoperative pain when the blocks were successful. It is concluded that good surgical anaesthesia, a low rate of adverse effects and prolonged postoperative analgesia can be achieved by the use of either subcutaneous ring block or a combination of dorsal nerve block (using the "10, 30-13, 30" or the subpubic approach) and infiltration of the frenulum. These approaches to the PB are effective anaesthetic techniques for circumcision in adults.

Original languageEnglish (US)
Pages (from-to)1181-1184
Number of pages4
JournalCanadian Journal of Anaesthesia
Volume41
Issue number12
DOIs
StatePublished - Dec 1 1994

Keywords

  • anaesthetic techniques: regional - penile block
  • surgery: circumcision

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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