title: Ischemic glans penis after circumcision.
abstract: A 33-year-old male receiving dorsal penile nerve block (DPNB) for circumcision exhibited a postoperative ischemic change over the glans penis. The event occurred nearly 24 hours after the procedure. The patient was treated with intravenous pentoxifyllin and hyperbaric oxygenation. Total reverse of the ischemia was observed. The complications associated with circumcision and DPNB were reviewed and discussed.
authors.affiliation: Division of Urology, Department of Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road (Sec. 2), Nei-Hu 114, Taipei, China. sheng@banhome.com
authors.forename: Yuan-Sheng
authors.initials: YS
authors.lastname: Tzeng
authors.forename: Shou-Hung
authors.initials: SH
authors.lastname: Tang
authors.forename: En
authors.initials: E
authors.lastname: Meng
authors.forename: Teng-Fu
authors.initials: TF
authors.lastname: Lin
authors.forename: Guang-Huan
authors.initials: GH
authors.lastname: Sun
mesh_terms: D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007239:Infections / Q000209:etiology / Q000473:pathology; D007511:Ischemia / Q000209:etiology* / Q000473:pathology; D008297:Male; D009407:Nerve Block / Q000009:adverse effects; D010413:Penis / Q000098:blood supply* / Q000473:pathology; D010431:Pentoxifylline / Q000494:pharmacology; D014665:Vasodilator Agents / Q000494:pharmacology
chemical_list: D014665:Vasodilator Agents; D010431:Pentoxifylline