Objectives Circumcision is the most prevalent procedure in pediatric surgery, performed for therapeutic and nontherapeutic reasons. Despite extensive existing research on analgesic modalities for infant circumcision, literature regarding adult circumcision is limited and outdated. We conducted this study to examine the efficacy and patient‐reported level of satisfaction with the use of a dorsal penile nerve block (DPNB) (local anesthetic technique) for perioperative anesthesia and postoperative analgesia in an adult cohort of patients undergoing circumcision in Israel. Methods We conducted a retrospective analysis on all cases of adult patients who underwent surgical circumcision between the years 2015 and 2020 at our institution. Data was collected with regard to efficacy and levels of satisfaction with the use of the block for circumcision in adults. Results A total of 39 cases were included in the analysis. Our findings demonstrated perioperative efficacy of the DPNB, with 67% reporting no procedural pain. Furthermore, in spite of 12% reporting mild pain, none of the study participants required the use of general anesthesia. Postsurgery, 10% reported having no pain at all. Eighty‐seven percent of the study cohort proclaimed satisfaction with the analgesic impact from use of the local anesthesia. Conclusion Our study findings suggest that the use of this local anesthetic technique provides adequate analgesia for surgical circumcision in adult patients, serving as a possible alternative to general anesthesia. Further research with larger study cohorts is necessary to validate our findings and evaluate whether the use of this technique improves patients′ postoperative outcomes.
Rub et al. (Thu,) studied this question.