1. Prepare the skin both at the base of the penis as well as around the penis with an alcohol pad.
2. Using aseptic technique and stabilizing the penis by gentle traction, insert the needle into the lateral side of the penis at the base.
3. Staying superficial to deep fascia, place a subcutaneous bleb of lidocaine. Then advance the needle circumferentially around the base of the penis while injecting. 3-5 punctures may be necessary to accomplish this. Try to insert the needle where lidocaine was already injected after the initial poke to minimize discomfort.