A video study of pain relief during newborn male circumcision

David J. Garry, E. Swoboda, A. Elimian, R. Figueroa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: The purpose of this investigation was to compare the effectiveness of dorsal penile nerve block and topical lidocaine-prilocaine anesthesia techniques for pain relief during circumcision. Methods: In total, 18 healthy term newborn males were divided based on anesthesia. The topical lidocaine-prilocaine group had six males undergoing circumcision and three males undergoing a sham procedure. The dorsal penile nerve block group had six males undergoing circumcision and three males undergoing a sham procedure. The procedures were videotaped and viewed by 90 noninvestigator reviewers who scored the infants' pain using the Neonatal Infant Pain Scale and a numeric pain scale. Statistical analysis utilized a P-value of <0.05 as significant. Results: The median Neonatal Infant Pain Scale and numeric pain scores were significantly lower in the dorsal penile nerve block group than in the topical lidocaine-prilocaine group or the sham group (Neonatal Infant Pain Scale: 1.0 (range 0-6) versus 6.0 (range 2-6) versus 4.0 (range 0-6), P<0.001, respectively; numeric pain scale: 2.0 (range 0-10) versus 8.0 (range 1-10) versus 4.0 (range 0-10), P<0.001, respectively). In the sham group, procedures with the dorsal penile nerve block had significantly lower pain scores than those with topical lidocaine-prilocaine (Neonatal Infant Pain Scale: 1.0 (range 0-6) versus 5.0 (range 2- 6), P<0.001; numeric pain scale: 1.0 (0-8) versus 6.0 (range 0-10), P<0.001). When reviewers were divided by medical background, gender or parental status, no differences in pain scores were observed. Conclusion: The dorsal penile nerve block anesthesia technique for newborn male circumcision was significantly more effective for pain relief than topical lidocaine-prilocaine.

Original languageEnglish (US)
Pages (from-to)106-110
Number of pages5
JournalJournal of Perinatology
Volume26
Issue number2
DOIs
StatePublished - Feb 2006

Fingerprint

Male Circumcision
Newborn Infant
Pain
Prilocaine
Pudendal Nerve
Nerve Block
Lidocaine
Anesthesia

Keywords

  • Dorsal penile nerve block
  • Gomco clamp
  • Lidocaine-prilocaine

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Garry, D. J., Swoboda, E., Elimian, A., & Figueroa, R. (2006). A video study of pain relief during newborn male circumcision. Journal of Perinatology, 26(2), 106-110. https://doi.org/10.1038/sj.jp.7211413

A video study of pain relief during newborn male circumcision. / Garry, David J.; Swoboda, E.; Elimian, A.; Figueroa, R.

In: Journal of Perinatology, Vol. 26, No. 2, 02.2006, p. 106-110.

Research output: Contribution to journalArticle

Garry, DJ, Swoboda, E, Elimian, A & Figueroa, R 2006, 'A video study of pain relief during newborn male circumcision', Journal of Perinatology, vol. 26, no. 2, pp. 106-110. https://doi.org/10.1038/sj.jp.7211413
Garry, David J. ; Swoboda, E. ; Elimian, A. ; Figueroa, R. / A video study of pain relief during newborn male circumcision. In: Journal of Perinatology. 2006 ; Vol. 26, No. 2. pp. 106-110.
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