Prospective Evaluation of Complications of Dorsal Penile Nerve Block for Neonatal Circumcision
Overview
Authors
Affiliations
Objective: To evaluate the complications of the dorsal penile nerve block (DPNB) when used for routine neonatal circumcisions.
Methods: All male newborns born in a community hospital between November 1, 1989 and August 31, 1990, and circumcised after DPNB were evaluated. Questionnaires were completed at the time of hospital discharge and at a health supervision visit 2 weeks later.
Results: Questionnaires were returned for 491 (85%) eligible patients. The only complication of DPNB found was bruising at the site of injection in 54 patients (11%). All bruising had resolved by the 2-week visit, and none was thought to have any clinical significance.
Conclusion: DPNB is a safe method of decreasing the pain and stress of neonatal circumcision.
Bupivacaine versus lidocaine analgesia for neonatal circumcision.
Stolik-Dollberg O, Dollberg S BMC Pediatr. 2005; 5(1):12.
PMID: 15907216 PMC: 1164419. DOI: 10.1186/1471-2431-5-12.
Pain relief for neonatal circumcision.
Brady-Fryer B, Wiebe N, Lander J Cochrane Database Syst Rev. 2004; (4):CD004217.
PMID: 15495086 PMC: 8768484. DOI: 10.1002/14651858.CD004217.pub2.
Pain management for neonatal circumcision.
Taddio A Paediatr Drugs. 2001; 3(2):101-11.
PMID: 11269637 DOI: 10.2165/00128072-200103020-00003.
Male circumcision: assessment of health benefits and risks.
Moses S, Bailey R, Ronald A Sex Transm Infect. 1999; 74(5):368-73.
PMID: 10195035 PMC: 1758146. DOI: 10.1136/sti.74.5.368.
Tolkin J CMAJ. 1996; 155(5):507; author reply 508-9.
PMID: 8804251 PMC: 1335015.