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}}</ref> Although Kirya & Wirthman called the procedure "painless", that is an exaggeration. DPNB does block the dorsal nerves, but does not block the ventral nerves, so at best it only reduces the extreme pain of circumcision somewhat. Lander et al. (1997) did a comparison study of [[EMLA ]]® cream topical anesthetic,<ref>{{REFweb

}}</ref> Dorsal Penile Ring Block, and Ring Block. DPNB was more effective than [[EMLA ]]® cream, but less effective than [[ring block]] local anesthesia.<ref name="lander1997">{{REFjournal |last=Lander |init=J |first=Janice |author-link= |last2=Brady-Frerer |init2=B |first2=Barbara |author2-link= |last3=Metcalfe |init3=JB |first3=James B. |author3-link= |last4=Nazerali |init4=S |first4=Shermin |author4-link= |last5=Muttit |init5=S |first5=Sarah |author5-link= |LanderJ etal=no |title= Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision |journal=JAMA |location= |date=1997-12-24 |volume=278 |issue=24 |pages=2157-64 |url=http://www.cirp.org/library/pain/lander/ |archived= |quote= |pubmedID=9417009 |pubmedCID= |DOI= |accessdate=2023-11-24}}</ref>

{{Box|Boxtext=<big><b>This procedure does NOT totally eliminate [[pain]]. A baby boy will still experience some [[pain]] and [[trauma]] with this analgesic procedure.<ref name="bellini2022 /> Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no [[pain]] or [[trauma]].</b></big>}}