Penile block
The needle is inserted on either side of the midline at the base of the penis, under the symphysis pubis, where the dorsal nerves pass, and also subcutaneously in a ring around the base (ring block) to completely anesthetize the shaft and glans. An anesthetic without adrenaline is used (vasoconstrictors in the penis area are prohibited). Numbness occurs within 5–10 minutes and lasts 2–4 hours, which makes it possible to perform outpatient operations without anesthesia, including in children in combination with sedation.
Why are blockades needed in urology?
Blockade is the introduction of an anesthetic to the nerves, providing anesthesia of the area during the procedure (circumcision, frenulotomy, biopsy, reduction of paraphimosis, treatment of priapism) or a therapeutic effect for chronic pain: chronic prostatitis and pelvic pain syndrome, orchalgia, pain after surgery on the scrotum, renal colic. Therapeutic blockades with anti-inflammatory drugs relieve spasm and inflammation, improve blood flow and are carried out in a course.
Security
Small doses of anesthetic are used; complications (hematoma, allergies) are rare. Blockades are not performed in case of skin infection at the injection site, coagulation disorders or drug intolerance. The price list includes medications.
