Approach - LMA is usually the preferred approach, but GETT or Local/MAC can be used depending on the patient’s or surgeon’s preference. A spinal block can be indicated for patients with lung disease that would contraindicate general anesthesia. Nerve Blocks - Two blocks may be administered: Dorsal penile and circumferential block. Both are typically done by the surgeon AFTER the patient is asleep. If asked to retrieve/draw up local anesthetic for the CIRCUMFERENTIAL block, DO NOT draw anything with epinephrine in it.
Circumcision is a common elective surgery for infant males 1-2 days after birth but can occasionally be performed on adults males for either cosmetic or functional purposes. Types of functional penile issues that indicate an adult circumcision include: Phimosis, balanoposthitis, and paraphimosis. The surgeon will remove all or part of the foreskin, depending on the problem being addressed.
