Open Access

HOW I DO IT

How I Do It: The pudendal nerve block for pediatric ambulatory urologic surgery

Blair Stocks¹, Hunter Fuentes¹, Zachary McDowell¹, Michael Brooks^1,2, Jeffrey A. Jones^1,2

1 Department of Urology, University of Washington Medical Center, Seattle, WA
2 Department of Urology, Temple University Hospital, Philadelphia, Pennsylvania, USA
3 Seattle Children's Hospital, Seattle, Washington, USA
Address correspondence to Dr. Chinonyerem Okoro, Department of Urology, Temple University Hospital, 3509 N. Broad Street, Boyer Pavilion, 6th Floor, Philadelphia, PA 19140 USA

Canadian Journal of Urology 2021, 28(2), 10648-10651.

Abstract

Regional analgesia is an important adjunct for perioperative pain management in the setting of pediatric penile surgeries. Caudal epidural analgesia (CEA) is the most common analgesic technique performed, but it has limitations and associated morbidity. The pudendal nerve block (PNB) is an effective alternative to CEA with a lower risk profile; in prior examination of the approach, PNB has been demonstrated to have similar postoperative pain control outcomes. We describe our technique and highlight observations made as we have transitioned from CEA to PNB for many patients.

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Keywords

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