Dorsal Penile Block for Post-Robotic Prostatectomy Foley Discomfort
Dorsal Penile Block for Post-Robotic Prostatectomy Foley Discomfort
The indwelling urethral foley is a major source of discomfort following radical
 prostatectomy. Our hypothesis is that intra-operative dorsal penile nerve block with
 bupivacaine may decrease immediate post-operative foley discomfort.
Patients undergoing robot-assisted radical prostatectomy (RARP) will be randomized in a
 double-blind placebo controlled manner to undergo penile ring block injection at the time of
 skin incision closure. A visual analog scale (VAS) based questionnaire including newly
 developed foley discomfort scores will be administered at various time points
 post-operatively.
Inclusion Criteria:

 -  age 40 years and above,

 -  diagnosis of prostate cancer,

 -  electing to undergo robot-assisted radical prostatectomy

 Exclusion Criteria:

 -  allergy to bupivacaine or amide-type local anesthetics,

 -  chronic pain condition,

 -  recently or currently on narcotics,

 -  genital abnormalities