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Hypospadias clinical trials

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NCT ID: NCT04671992 Enrolling by invitation - Hypospadias Clinical Trials

Out Of-plane Technique Against In-plane for Caudal Block

Start date: December 1, 2020
Phase: N/A
Study type: Interventional

Caudal block is an easy and effective type of central neuraxial block that is widely used in subumbilical surgeries to provide intraoperative and postoperative analgesia in the pediatric population. Caudal block application with ultrasound (USG) was first applied in 2003. Sacrum, sacral cornular, sacrococcygeal ligament and sacral hiatus can be easily distinguished by ultrasound. The probe is positioned in a horizontal midline position on the lower sacrum. Sacral roots within the caudal epidural space can be seen as hypoechoic ellipses. In addition, anatomical variations of the sacral hiatus and the process area can be clearly observed. A accurate probe use with ultrasound guided is confirmed by advancing the caudal needle in the desired direction, widening in the sacral hiatus with local anesthetic injection, and the turbulence observed during injection into the sacral canal if the color doppler feature is used. Thus, a decrease in complications and an increase in the success of the procedure can be achieved with simultaneous imaging. In addition, in cases where the block is difficult, the in-plane technique can be preferred in the midline plane.The aim of this study is to compare the success rates and postoperative pain levels of caudal block applications with the out of plane technique (probe applied by holding horizontal) and in-plane technique (probe applied vertically), which is routinely applied with ultrasound in pediatric hypospadias surgery.

NCT ID: NCT04196400 Enrolling by invitation - Hypospadias Clinical Trials

The Role of Local Long Acting Corticosteroid Injection in Hypospadias Surgery.

Start date: December 1, 2019
Phase: Early Phase 1
Study type: Interventional

Post-operative tissue oedema is one of the main causes of failure of hypospadias repair. Severe oedema may disrupt the suture line, invite infection and result in repair failure. Thus, we suggested that local injection of corticosteroids in just below coronal sulcus into dartos and buck's fascia may limit this oedema thus improving the outcome of hypospadias repair.

NCT ID: NCT03593720 Enrolling by invitation - Hypospadias Clinical Trials

Glans Size in Hypospadias Compared to Normal

Start date: July 25, 2018
Phase:
Study type: Observational

The investigator will collect data on penile and glans size by age, weight and ethnicity in both patients undergoing routine urological surgery and hypospadias surgery.