MODIFICATION OF THE PENILE BLOCK

Penile block is a recommended technique for circumcision in adults. Th e classic technique for performing this block fails to produce satisfa ctory analgesia in many cases, and pain sensation in the region of the prepuce persists. We propose a modified technique of penile block wit h the addition of infiltration of local anesthetic along the raphe of the penis up to the prepuce. In 30 patients (group 1), circumcision wa s performed with the classic technique of penile block, and in 100 pat ients (group 2) the modified technique was used. The frequency and int ensity of pain during the operation were significantly higher in group 1, whereas patients in group 2 were practically pain-free. The discom fort experienced during performance of the block and in the postoperat ive period was equal in the two groups. We recommend this modified tec hnique of penile block for circumcision in adults.