Stav A, Gur L, Gorelik U, Ovadia L, Isaakovich B, Sternberg A
Department of Anesthesiology, Hillel Jaffe Medical Center, Hadera, Israel.
World J Urol. 1995;13(4):251-3. doi: 10.1007/BF00182973.
Penile block is a recommended technique for circumcision in adults. The classic technique for performing this block fails to produce satisfactory analgesia in many cases, and pain sensation in the region of the prepuce persists. We propose a modified technique of penile block with the addition of infiltration of local anesthetic along the raphe of the penis up to the prepuce. In 30 patients (group 1), circumcision was performed with the classic technique of penile block, and in 100 patients (group 2) the modified technique was used. The frequency and intensity of pain during the operation were significantly higher in group 1, whereas patients in group 2 were practically pain-free. The discomfort experienced during performance of the block and in the postoperative period was equal in the two groups. We recommend this modified technique of penile block for circumcision in adults.
阴茎阻滞是成人包皮环切术推荐使用的技术。实施这种阻滞的经典技术在许多情况下无法产生令人满意的镇痛效果，包皮区域仍存在疼痛感。我们提出一种改良的阴茎阻滞技术，即在阴茎中缝直至包皮处额外注射局部麻醉剂。30例患者（第1组）采用经典阴茎阻滞技术进行包皮环切术，100例患者（第2组）采用改良技术。第1组手术期间疼痛的频率和强度明显更高，而第2组患者几乎没有疼痛。两组在实施阻滞期间及术后经历的不适程度相当。我们推荐这种改良的阴茎阻滞技术用于成人包皮环切术。
