Caudal anaesthesia as a treatment for penile ischaemia following circumcision.
We report an ischaemic penile glans following circumcision and a dorsal penile nerve block in a 9-year-old boy. Ischaemia of the glans penis is a rare complication associated independently with both circumcision and dorsal penile nerve blocks. There are a number of pathophysiological mechanisms of this ischaemia and its management is varied and not well recorded. We report the successful management of this complication using a caudal epidural block and also discuss technical aspects of penile nerve blocks.
Kaplanian
S
S
Department of Anaesthesia and Pain Management, Princess Margaret Hospital for Children, Perth, WA 6008, Australia.
Chambers
N A
NA
Forsyth
I
I
D000763:Anesthesia, Caudal / Q000379:methods*; D002648:Child; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000628:therapy*; D008297:Male; D009407:Nerve Block / Q000009:adverse effects; D010413:Penis / Q000098:blood supply*