SPERMATIC CORD BLOCK IN UROLOGIC SURGERY

KAYE, KEITH W.
LANGE, PAUL H.
FRALEY, ELWIN E.

From the Department of Urologic Surgery, University of Minnesota College of Health Sciences and the Urology Section, Veterans Administration Medical Center, Minneapolis, Minnesota

Accepted for publication January 15, 1982.

Journal of Urology 128(4):p 720-721, October 1982. | DOI: 10.1016/S0022-5347(17)53154-7

Local anesthesia sufficient for vasovasostomy, hydrocelectomy, spermatocelectomy or orchiectomy for prostatic carcinoma can be obtained with 10 to 12 ml. 0.5 per cent bupivacaine hydrochloride injected through the spermatic cord approximately 1 cm. below and medial to the pubic tubercle. The overlying skin is infiltrated with the same anesthetic. Preoperative and intraoperative sedation rarely is needed. The post-anesthetic recovery time is short and the need for postoperative analgesia is reduced.