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{{Construction Site}}
using template LanderJ etal 1997
'''{{FULLPAGENAME}}''' is the name of a nerve blocking local anesthesia procedure that is used to reduce the [[pain]] of non-therapeutic neonatal [[circumcision]].
Ring block was proposed by Broadman et al. (1987) to reduce, not eliminate, the [[pain]] if a boy is considered to be more effective than DPNB or EMLA cream[[circumcised]]. Broadman et al. also proposed the use of low-dose intravenous fentanyl for post-operative pain relief.<ref name="lander1997broadman1987">{{REFjournal |last=LanderBroadman |initfirst=J |firstinit=JaniceLM
|author-link=
|last2=Brady-FrererHannallah |init2first2=B |first2init2=BarbaraRS
|author2-link=
|last3=MetcalfeBelman, |init3first3=JB |first3init3=James B.AB
|author3-link=
|last4=NazeraliElder |init4first4=S |first4init4=SherminPT
|author4-link=
|last5=MuttitRuttimann, |init5first5=S |first5init5=SarahU
|author5-link=
|last6=Epstein |first6= |init6=BS |author6-link= |etal=none |title= Comparison Post-circumcision analgesia—a prospective evaluation of subcutaneous ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcisionof the penis |trans-title= |journal=JAMAAnesthesiology
|location=
|date=19971987-12-2409 |volume=27867 |issue=243 |pages=2157399-64402 |url=httphttps://wwwpubs.cirpasahq.org/libraryanesthesiology/article/67/3/pain399/lander118178/Post-circumcision-Analgesia-A-Prospective
|archived=
|quote=
|pubmedID=94170093307533
|pubmedCID=
|DOI=10.1097/00000542-198709000-00019 |format=PDF |accessdate=2023-11-2425
}}</ref>
Ring block is considered to be more effective than [[dorsal penile nerve block]] or [[EMLA]] cream.<ref name="lander1997">{{LanderJ etal 1997}}</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. 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>}}
The [[penis]] is innervated by both dorsal and perineal nerves,<ref name="cepeda2023">{{REFjournal
|last=Cepeda-Emiliani
|first=
|init=A
|author-link=Alfonso Cepeda-Emiliani
|last2=Gándara-Cortés
|first2=
|init2=M
|author2-link=
|last3=Otero-Alén
|first3=
|init3=M
|author3-link=
|last4=García
|first4=
|init4=H
|author4-link=
|last5=Suárez-Quintanilla
|first5=
|init5=J
|author5-link=
|last6=García-Caballero
|first6=
|init6=T
|author6-link=
|last7=Gallego
|first7=
|init7=R
|author7-link=
|last8=García-Caballero
|first8=
|init8=R
|author8-link=
|etal=no
|title=Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis
|trans-title=
|journal= Int J Impot Res
|date=2023-05-02
|volume=35
|issue=3
|article=
|page=
|pages=286-305
|url=https://www.nature.com/articles/s41443-022-00561-9
|archived=
|quote=
|pubmedID=35501394
|pubmedCID=
|DOI=10.1038/s41443-022-00561-9
|accessdate=2023-12-09
}}</ref> therefore ring block can never be totally effective.
{{REF}}