Short Communication
Pudendal nerve block in male goats: comparison of ischiorectal fossa and ischial arch approaches using low volume 1% lignocaine hydrochloride
Mujeebur Rehman Fazili * ,
Nida Handoo ,
Mohd Younus Mir ,
Beenish Qureshi

Mac Vet Rev 2016; 39 (1): 111 - 115

10.1515/macvetrev-2015-0064

Received: 26 June 2015

Received in revised form: 24 September 2015

Accepted: 09 November 2015

Available Online First: 17 November 2015

Published on: 15 March 2016

Correspondence: Mujeebur Rehman Fazili, fazili_mr@yahoo.co.in
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Abstract

Thirty (30) adult male goats were injected xylazine (0.05 mg/kg, IM) and randomly divided into three equal groups. Internal pudendal nerve block was tried using 3.5 ml (on each side) of 1% lignocaine hydrochloride byischiorectal fossa or ischial arch approaches in goats from Group 1 and Group 2 respectively, 15 minutes after giving xylazine. Inadvertent puncture of the rectal wall and prick to the finger placed in the rectum was experienced once in Group 1 animal. None of the animals showed protrusion of the penis without manual manipulation. Prolapse of the prepucial ring was noticed in three animals from Group 1 and two each from Group 2 and 3. The application of mild manual push percutaneously resulted in the exposure of the penis in eight and six animals belonging to Group 1 and Group 2 respectively, 15 minutes after injection of the local anaesthetic. Statistically significant (P>0.05) difference between Group 1 and 2 values was detected only once at 90 minutes following injection of the local anaesthetic. The block lasted longer in animals of Group 1. The exposed organ was flaccid and insensitive. The organ retracted into the prepucial cover within five minutes of its release in all the animals. The penile exposure could not be achieved by similar manipulation in any of the Group 3 animals. From this study it was concluded that the ischiorectal fossa approach is cumbersome and may lead to inadvertent punctures, but the block develops in more number of animals for a longer period than with the ischial arch approach.The outcome of the two techniques did not show statistically significant (P>0.05) difference for most of the assessment period. Reducing the concentration of lignocaine hydrochloride may reduce the chances of continued relaxation of the penis beyond the required period and also the drug toxicity. However, studies using larger volume of 1% lignocaine hydrochloride may be undertaken for short term exposure of the penis without manual manipulation.

Keywords: pudendal nerve block, goat, penis, prepuce, ischiorectal, ischial arch


References

1. Galatos, A.D. (2011). Anesthesia and analgesia in sheep and goats. Vet. Clin. Food Anim. Pract. 27, 47-59. http://dx.doi.org/10.1016/j.cvfa.2010.10.007 PMid:21215889

2. Gilbert, R.O., Fubini, S.L. (2004). Surgery of the bovine reproductive system and urinary tract. In: Fubini, S.L & Ducharme, N.G. (Ed.), Farm animal surgery (pp. 353-354). First edition, Elsevier (USA), St. Louis

3. Larson, L.L. (1953). The internal pudendal (pudic) nerve block for anaesthesia of the penis and relaxation of the retractor penis muscle. J. Am. Vet. Med. Assos. 123, 18-27. PMid:13061360

4. McFarlane, I.S. (1963). The lateral approach to pudendal nerve block in the bovine and ovine. J. S. African Vet. Med. Ass. 34, 73-76.

5. El-Kammar, M.H., Alsafy, M.A. (2006). Pudendal nerve blockage: Surgical and topographical anatomical study in goat. Kafr El-Sheikh Vet. Med. J. 4, 1011-1030.

6. Tranquilli, W.J., Thurmon, J.C., Grimm, K.A. (2007). Lumb and Jone’s veterinary anesthesia and analgesia (pp. 662-663). Fourth edition. Iowa: Blackwell Publishing, USA

7. Elmore, R.G. (1981). Food-animal regional anesthesia. Edwardsville, KS, Veterinary Medicine Publishing

8. Clarke, K.W., Trim, C.M., Hall, L.W. (2014). Veterinary Anaesthesia. (pp.319, 325-326, 347). Eleventh edition. London: Saunders Elsevier, England

9. Gray, P.R., McDonnell, W. (1986). Anaesthesia in sheep and goat. Part1. Local analgesia. Compend.Contin.Educ. 8, S3.

10. Turner, S.A., Mellwaraith, W.C. (1989). Techniques in large animal surgery. Lea & Febiger (Ed). Third edition, Philladelphia, London

11. Abdi, S., Shenouda, P., Patel, N., Saini, B., Bharat, Y., Calvillo, O. (2004). A novel technique for pudendal nerve block. Pain Physician. 7, 319-322. PMid:16858468


Copyright

© 2015 Fazili M.R. This is an open-access article publishedunder the terms of the Creative Commons Attribution License whichpermits unrestricted use, distribution, and reproduction in any medium,provided the original author and source are credited.

Conflict of Interest Statement

The authors declared that they have no potential conflict of interest with respect to the authorship and/or publication of this article.

Citation Information

Macedonian Veterinary Review. Volume 39, Issue 1, Pages 111-115, p-ISSN 1409-7621, e-ISSN 1857-7415, DOI: 10.1515/macvetrev-2015-0064, 2016