Ultrasound-guided dorsal penile nerve block performed in a case of zipper entrapment injury

J Clin Ultrasound. 2017 Nov 12;45(9):589-591. doi: 10.1002/jcu.22459. Epub 2017 Feb 10.

Abstract

Injury to the penis resulting from zipper entrapment is a painful condition that presents a unique anesthetic challenge to the emergency physician and may even require procedural sedation for removal. In this case report, we describe successful removal of zipper entrapment from the penis of a 34-year-old patient after the application of an ultrasound-guided dorsal penile nerve block. We discuss the anatomy, sonographic features, and steps required for the nerve block procedure. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:589-591, 2017.

Keywords: dorsal penile nerve block; emergency; penile injury; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthetics, Local / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Bacitracin / therapeutic use
  • Foreskin / diagnostic imaging*
  • Foreskin / injuries*
  • Foreskin / pathology
  • Humans
  • Lidocaine / administration & dosage
  • Male
  • Necrosis
  • Nerve Block / methods*
  • Penile Diseases / diagnosis
  • Penile Diseases / drug therapy
  • Penile Diseases / pathology*
  • Penis / diagnostic imaging
  • Penis / injuries
  • Penis / innervation
  • Pudendal Nerve / diagnostic imaging*
  • Pudendal Nerve / drug effects
  • Ultrasonography, Interventional / methods*

Substances

  • Anesthetics, Local
  • Anti-Bacterial Agents
  • Bacitracin
  • Lidocaine