Postoperative Pain Clinical Trial
Official title:
Caudal Epidural Block and Ultrasound-guided Dorsal Penile Nerve Block With the In-plane Technique for Pediatric Distal Hypospadias Surgery: A Prospective Observational Study
Hypospadias, seen in every 200-300 births, is one of the most common congenital anomalies of
the penis and is defined as the urethral meatus being located in the ventral part of the
penis instead of its normal place. The surgery of this anomaly is very painful in the
postoperative period and requires long-term analgesia. Regional anesthesia methods combined
with general anesthesia play an important role in providing effective and long-term
postoperative pain control in pediatric penile surgery. These methods also reduce
postoperative morbidity, enable early mobilization and significantly decrease the need for
narcotic analgesics.
The investigator's hypothesis is peripheral nerve blocks are superior to neuraxial blocks as
the blocks provide longer-term analgesia and have fewer side effects.
The surgery of hypospadias is very painful in the postoperative period and requires long-term
analgesia. A dorsal penile nerve block (DPNB) and caudal epidural block (CEB) are commonly
used regional anesthesia techniques for postoperative pain control.
Aims: The primary aim of the current study was to use the duration until the first
postoperative analgesic requirement after two different block techniques to compare the
analgesic effect. The secondary aims were to compare the two methods for postoperative
Children's Hospital Eastern Ontario Pain Scale (CHEOPS) scores, complications and parental
satisfaction scores.
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