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.


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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