Fig. 5.1
Illustrations of hand position and injection location
Complications
- 1.
Ecchymosis and hematoma—maintain pressure on the injected region to minimize.
- 2.
Incomplete anesthesia —repeat block. Careful not to cause lidocaine toxicity by going over the recommended dose of 4.5 mg/kg.
- 3.
Vasovagal response.
- 4.
Puncture of the surrounding tissue—including the vas deferens.
- 5.
Prolonged neuropraxia .
Post-procedural Management
Compression to prevent hematoma formation.
Suggested Reading
Burden RJ, O’Kelly SW, Sutton D, Cumming J. Spermatic-cord block improves analgesia for day-case testicular surgery. Br J Urol. 1997;80(3):472–5.CrossRefPubMed
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