The use of local anesthesia and nerve blocks for scrotal and penile surgery: Local anaesthesia for scrotal and penile surgery

Local anaesthetics are widely used for penile and genital surgery, with techniques tailored to the specific nerve supply and dermatomal distribution of the genitalia. For penile and genital surgery, local infiltration (ring block), dorsal penile nerve block, and pudendal nerve block are the most common techniques. The pudendal nerve block providing optimal analgesia for extensive penile or genital surgeries, while local infiltration and topical agents are appropriate for less invasive interventions. The recommended technique for providing local anesthesia for scrotal surgery is ultrasound-guided ilioinguinal and genitofemoral nerve blocks. This approach targets the nerves responsible for sensory innervation of the scrotum and adjacent regions, providing effective intraoperative anesthesia and postoperative analgesia.