What are the possible complications of dorsal penile nerve block?

Updated: May 21, 2018
  • Author: Gil Z Shlamovitz, MD, FACEP; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Complications may include the following:

  • Bleeding and hematomas: Most penile bleeding can be easily controlled with direct pressure.

  • Failure to achieve adequate anesthesia: A different block should be attempted as long as the toxic dosage of the anesthetic was not exceeded. [9]

  • Skin sloughing: This complication is more common with distal shaft/glans injections and when anesthetic that contains epinephrine is used.

  • Infection: The injection site can become infected, but this is rare. [10] A prophylactic antibiotic is not recommended; rather, the patient should be given detailed return precautions.

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