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Dorsal penile nerve block: Difference between revisions

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using template LanderJ etal 1997
 
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{{Construction Site}}
'''{{FULLPAGENAME}}''' (DPNB)<ref>{{REFweb
'''{{FULLPAGENAME}}''' (DPNB)<ref>{{REFweb
  |url=https://acronyms.thefreedictionary.com/Dorsal+penile+nerve+block
  |url=https://acronyms.thefreedictionary.com/Dorsal+penile+nerve+block
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  |date=
  |date=
  |accessdate=2023-11-24
  |accessdate=2023-11-24
}}</ref> is a local anesthetic procedure sometimes used in hope of reducing [[pain]] in [[circumcision]] of the newborn. In this procedure two injections of local anesthetic (lidocaine} are made near the base of the [[penis]] at the ten o'clock and two o'clock positions to block the dorsal nerves.
}}</ref> is a local anesthetic procedure sometimes used in hope of reducing [[pain]] in non-therapeutic [[circumcision]] of the newborn. In this procedure two injections of local anesthetic (lidocaine} are made near the base of the [[penis]] at the ten o'clock and two o'clock positions to block the dorsal nerves.


DPNB was proposed by Kirya & Werthman in 1978.<ref name="kirya1978">{{REFjournal
DPNB was proposed by Kirya & Werthman in 1978.<ref name="kirya1978">{{REFjournal
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  |DOI=10.1016/s0022-3476(78)80386-2  
  |DOI=10.1016/s0022-3476(78)80386-2  
  |accessdate=2023-11-24
  |accessdate=2023-11-24
}}</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> 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
  |url=https://medical-dictionary.thefreedictionary.com/Emla+cream
  |url=https://medical-dictionary.thefreedictionary.com/Emla+cream
  |title=Emla cream
  |title=Emla cream
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  |date=2005
  |date=2005
  |accessdate=2023-11-24
  |accessdate=2023-11-24
}}</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
}}</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">{{LanderJ etal 1997}}</ref>
|last=Lander
 
|init=J
An infant boy who is [[circumcised]] with DPNB may expect to experience [[pain]] and [[trauma]].
|first=Janice
<br>
|author-link=
{{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. 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>}}
|last2=Brady-Frerer
 
|init2=B
== Video ==
|first2=Barbara
This video illustrates the use of DPNB.
|author2-link=
* [https://www.reddit.com/r/Intactivism/comments/qbpzqr/trained_medical_professionals_restrain_infant_to/?rdt=61166 Dorsal Penile Nerve Block circumcision procedure]
|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=
|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>
{{SEEALSO}}
{{SEEALSO}}
* [[Pain]]
* [[Pain]]
* [[Trauma]]
{{LINKS}}
* {{REFweb
|url=https://www.ncbi.nlm.nih.gov/books/NBK535389/
|title=Dorsal Penile Nerve Block
|last=McPhee
|first=
|init=AS
|last2=McKay
|init2=AC
|author2-link=
|publisher=National Library of Medicine
|date=2023-02-18
|accessdate=2024-11-24
}}
{{REF}}
{{REF}}


[[Category:Circumcision]]
[[Category:Circumcision]]
[[Category:Pain]]
[[Category:Pain]]
[[Category:Medical term]]
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