No-needle local anesthesia for adult male circumcision

The Journal of Urology
Yifeng PengMarc Goldstein

Abstract

We used a local anesthetic jet injection technique for adult male circumcision. This method eliminates needle use and may decrease the fear of local anesthetic injection used for male circumcision. We recruited 60 men seeking voluntary adult male circumcision into the study from June to September 2009. We used a MadaJet Medical Injector to deliver a high pressure spray of 0.1 ml 2% plain lidocaine solution directly through the penile skin circumferentially around the proximal third of the penis. All men underwent circumcision using the Shang Ring and were evaluated for anesthetic safety, efficacy and acceptability. Pain was measured on a visual analog scale. The average volume of 2% lidocaine anesthetic solution delivered by jet injection was 0.1 ml with a mean total of 0.9 ml per circumcision procedure. More than 85% of men did not require supplemental anesthesia. Anesthetic onset required approximately 45 seconds from the time that injections were completed. Mean pain scores for immediate postoperative, 24-hour postoperative, ring removal and post-ring removal events were 0.1, 6.8, 2.2 and 0.9, respectively. In 4 patients (6.67%) mild urethral bleeding resolved with pressure, resulting in technique modification. No-needle jet...Continue Reading

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Citations

Jan 29, 2014·Journal of Surgical Technique and Case Report·Abdullahi Abdulwahab-Ahmed, Ismaila A Mungadi
Oct 13, 2010·Nature Reviews. Urology·Puneet MassonMarc Goldstein
Sep 10, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Osman Akyüz, Müslüm Ergün

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