THE BLOCKAGE OF THE DORSAL NERVE OF THE PENIS IN ELDERLY PATIENTS WITH PARAPHIMOSIS WITH CONCOMITANT CARDIOVASCULAR PATHOLOGY AS A METHOD OF CHOICE
DOI:
https://doi.org/10.31379/2411.2616.11.1.8Keywords:
paraphimosum, dorsal nerve block of penis, nerve block, elderly patient, circumscissia, concomitant cardiovascular pathology, choice method, clinical case, rivaroxaban, hemostasis, cardioverter defibrillatorAbstract
A man at the age of 78 years was brought to a reception room with symptoms of paraphimosis, which lasted 1 hour and needed urgent circumscissia. Concomitant pathology was presented by chronic ischemic heart disease, post-infarction (04.09.2009) cardiosclerosis, chronic heart failure (CHF) II B, FC II and established 6 years ago by cardioverter defibrillator (due to the presence of episodes of paroxysmal ventricular tachycardia with low rates AT) Data from anamnesis, heart rate 64 beats/min, AT 100/60 mmHg, permanent reception by Rivoroxiban patient at a dose of 20 mg/day per os and the need for emergency assistance determined the blockade of the dorsal nerve of the penis as a method of choice for this patient.
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