Prospective Evaluation of Complications of Dorsal Penile Nerve Block for Neonatal Circumcision

Pediatrics, Volume 95, Issue 5: Pages 705-708, May 1995.

LW Snellman and HJ Stang

Department of Pediatrics, Group Health, Inc., White Bear Lake, MN 55110, USA.

[Abstract]

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.

Copyright 1995 by The American Academy of Pediatrics


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