A comparison of the postoperative analgesic effectiveness of low dose caudal epidural block and US-guided dorsal penile nerve block with in-plane technique in circumcision

Özen, Volkan; Yiğit, Doğakan

doi:10.1016/j.jpurol.2019.10.020

Cited by 21 publications

(25 citation statements)

References 28 publications

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“…Penile block is used in selected penile surgeries in both children and adults 21‐25 . It is recommended to be administered with USG guide 21,23,32 . The advantages of using USG are to visualise the scarpa fascia, to enable the distribution of local anaesthetic, and to help prevent intravascular injection.…”

Section: Discussionmentioning

confidence: 99%

A randomised‐controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter‐related bladder discomfort and pain

Göğer

Özkent²,

Göger

et al. 2021

Int. J. Clin. Pract.

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In the present study, the impact of penile nerve block (PNB) on postoperative pain and Catheter-Related Bladder Discomfort (CRBD) in the transurethral resection of prostate(TURP) patients were evaluated. Methods:Participants of the present study were selected from patients who performed TURP under spinal anaesthesia for benign prostatic hyperplasia (BPH) between January 2018 and July 2020. The present study was planned as a single-centre, randomised-controlled prospective study in which the patients were divided into two groups. Group 1 was administered Control (n:40), and Group 2 ultrasonography(USG) guided PNB (n:40). The patients were included in the Groups, respectively. Visual analogue scale (VAS) scores were questioned and recorded in order to evaluate the postoperative pain complaints of the patients after the operation. In addition, in order to evaluate the CRBD, VAS scores were questioned and recorded as 0th, 0-1th hour, 1st-2nd hour, 2nd-4th hour, 4th-8th hour, 8th-12th hour, and 12th-24th hour.In addition, postoperative pain and need for analgesic drug were recorded. Tramadol was given to patients with moderate to severe CRBD. The findings were compared between the Groups.Results: There was no statistical difference demographic and per-operative data between Group 1 and Group 2. The CRBD and pain-related VAS scores were significantly higher in Group 1 between the 0 and 8th hours. There was no difference between VAS scores in the postoperative 8-24th hours. In total 24 hours, Group 2's need for tramadol was significantly less than Group 1. On examining the factors affecting CRBD in the multivariate analysis, age, body mass index(BMI), prostate volume, operation time do not affect CRBD statistically, and only PNB reduces CRBD (P: .029). While less drug-related complications were observed in Group 2, no serious complications related to PNB were observed. Conclusion:Penile nerve block is an effective method for the decrease pain and CRBD after urological surgery. It will also reduce the need for analgesics, and provide painless patients in the postoperative period. How to cite this article: Göger YE, Özkent MS, Göger E, et al. A randomised-controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter-related bladder discomfort and pain.

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Section: Discussionmentioning

confidence: 99%

A randomised‐controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter‐related bladder discomfort and pain

Göğer

Özkent²,

Göger

et al. 2021

Int. J. Clin. Pract.

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show abstract

“…16 CB is one of these methods and is effective for both intra-and postoperative paediatric pain control. 1,2 CB was sometimes not successful with the first needle intervention when used as a conventional blind technique. 17 CB under US guidance is therefore recommended to prevent repeated unsuccessful interventions, especially in paediatric patients whose sacral horns are difficult to palpate.…”

Section: Discussionmentioning

confidence: 99%

“…Following the surgical incision, an increase of 20% from the baseline was accepted as indicating an unsuccessful block, prompting 0.5 μg/kg IV fentanyl administration. 2 Postoperatively, the patients were taken to the recovery room. The same paediatric anaesthesiologist experienced in regional anaesthesia applications performed all the blocks with US guidance.…”

Section: F I G U Rmentioning

confidence: 99%

“…3 A swelling in the caudal block or perineal area together with redness was defined as a haematoma. 2…”

Section: Postoperative Complicationsmentioning

confidence: 99%

“…The regional anaesthesia methods of caudal block (CB) and dorsal penile nerve block (DPNB) play an important role in providing postoperative pain control in paediatric circumcision surgery. 1,2 However, the short-term postoperative analgesic effect and the risk of block failure limit the use of DPNB, a peripheral nerve block. 1,3 CB is a neuraxial block and commonly used to control moderate and severe postoperative pain following surgery related to the lumbosacral and midthoracic dermatomes.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the postoperative analgesic effects of US‐guided caudal block and US‐guided pudendal nerve block in circumcision

Özen

2021

Int J Clin Pract

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Aim: To compare the postoperative analgesic efficacy and postoperative complications of the pudendal nerve block (PNB) and caudal block (CB) with ultrasound (US). Study Design: A prospective observational study. Methods: This study was included male patients aged between 4 and 12 years in the ASA I-II group and scheduled for circumcision. A low-dose CB or US-guided PNB was administered under general anaesthesia before the operation. Postoperative pain was evaluated using the Children's Hospital Eastern Ontario Pain Scale (CHEOPS)and Faces Pain Scale-Revised. Postoperative analgesic need was also noted. Results:The study was completed with a total of 100 patients consisting of 50 patients who received a CB and 50 who received a PNB. Intraoperative block failure was not seen in any patient. The mean CHEOPS score (P < .001) and the 6th (P = .003) and 12th hours (P < .001) CHEOPS scores were found to be statistically significantly higher in the CB group. There were no postoperative side effects in the PNB group with a statistically significant difference compared with the CB group (P = .027). Conclusion:This first prospective study in the literature shows that US-guided PNB provided a more pronounced and longer analgesic effect and resulted in less requirement for postoperative analgesics than US-guided CB.

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Comparison of the effects of ring block and dorsal penile nerve block on parental satisfaction for circumcision operation in children: randomized controlled trial

Toprak,

Kandemir

2024

Pediatr Surg Int

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A comparison of the postoperative analgesic effectiveness of low dose caudal epidural block and US-guided dorsal penile nerve block with in-plane technique in circumcision

Cited by 21 publications

References 28 publications

A randomised‐controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter‐related bladder discomfort and pain

A randomised‐controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter‐related bladder discomfort and pain

Comparison of the postoperative analgesic effects of US‐guided caudal block and US‐guided pudendal nerve block in circumcision

Comparison of the effects of ring block and dorsal penile nerve block on parental satisfaction for circumcision operation in children: randomized controlled trial

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