Caudal block versus Penile block for postoperative ‎analgesia in children undergoing hypospadias repair

Al-Metwally, Mohamed; Al-Saudi, Ezzat M; Ata, Ahmed Mohammed Abo El; Allam, Medhat Helaly

doi:10.21608/aimj.2020.35550.1281

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…This was supported by Lin et al (7) , who found that the FLACC scores in the general anesthetic plus caudal block group were lower at 1 and 6 hours following surgery. Additionally, Al-Metwally, Mohamed et al (13) discovered that although other postoperative outcomes are comparable, general anesthesia performs worse than caudal bupivacaine when using FLACC scores for postoperative analgesia in children under the age of six who are undergoing infra-umbilical procedures.…”

Section: Discussionmentioning

confidence: 99%

Caudal Block for Analgesia in Pediatrics Undergoing Hypospadias Repair Surgery under General Anesthesia

Alakhdary¹,

Alwakil²,

Zanfaly³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: The treatment of anesthetic patients increasingly includes postoperative pain management. Many methods of controlling juvenile pain have been devised, with caudal blocking being the most widely used.Objective: The aim of the current study was to evaluate the efficacy of pain management during and after hypospadias correction surgery in pediatric patients under general anesthesia alone and general anesthesia combined with caudal block. Patients and methods: A total of 42 pediatric patients scheduled for hypospadius repair surgery, were equally divided into two groups (21 in each); Group G received general anesthesia only and Group GC received general anesthesia combined with caudal block. Results: Group G had significantly higher dose of intraoperative fentanyl (16.09±1.99 microgram) versus (13.71±1.71microgram) in Group GC. Regarding the duration since the first analgesia request, it was significantly longer in Group GC (96±0.106 min) when compared to Group G (34.67±4.69). All cases of Group G needed analgesics while only (22.8%) of Group GC needed analgesics. Face, Legs, Activity, Cry, and Consolability scale (FLACC) score was significantly lower in Group GC from immediately postoperative until 8 hours compared to Group G. FLACC score was non-significantly lower in both groups of study 12 hours and 24 hours post-operative. Conclusion: General anesthesia combined with caudal block was safe and effective for post-operative pain control than general anesthesia only in pediatrics patients undergoing hypospadius repair surgery.

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Section: Discussionmentioning

confidence: 99%

Caudal Block for Analgesia in Pediatrics Undergoing Hypospadias Repair Surgery under General Anesthesia

Alakhdary¹,

Alwakil²,

Zanfaly³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…Our findings are in line with previous reports, [18][19][20][21][22][23] however, in contrast to the other reports where reported caudal is a better anaesthetic method than penile. 17, [24][25][26] The discrepancy in the results could be attributed to differences in the variables and statistical methods, pain assessment tools e.g. Face, Legs, Activity, Crying, and Consolability (FLACC), visual analog scale (VAS) score, nonuniformity in the mode of induction (e.g.…”

Section: Discussionmentioning

confidence: 99%

Comparing Postoperative Analgesia of Caudal and Penile Blockade using Bupivacaine in Children Undergoing Hypospadias Repair

Ahmed¹,

Bella²

2023

JBMS

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Background & Objectives: Caudal epidural and dorsal nerve penile blockade are commonly used for analgesia during and after hypospadias repair in children. Comparative studies to recommend the most effective block are in dearth. This study aims to compare penile block versus caudal block with bupivacaine for hypospadias repair in children in terms of post-operative effectiveness, pain management, and complications. Methodology: The study was conducted on 60 male children, aged 1-9 years, undergoing hypospadias surgery under general anesthesia. The subjects were randomly divided into two groups: (A: caudal block, n=30, and B: penile block, n=30). A postoperative pain assessment was conducted using FLACC scale until 24 hours post-surgery. Results: The patients from the A and B groups were comparable in age, weight, and ASA classification. All patients in the 2 groups did not feel pain post-operatively throughout the first 6 hours. One patient (3.4%) from each of the A and B groups started to feel pain 6 hours, and 9 hours, respectively after surgery. Eight patients (26.7%) in group A and 6 patients (20%) in group B felt pain throughout 6 to 24 hours after surgery. Four patients from group A and 1 patient from group B developed nausea and vomiting during the first 24 hours post-surgery. Conclusion: The penile blockade proved to be more effective in lowering postoperative pain scores, with fewer side effects, thereby decreasing the need for rescue analgesia.

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“…Al-Metwally et al [15] compared caudal and penile block with respect to postoperative pain score, rescue analgesia time, and total analgesia dose. This study showed a significantly greater reduction in postoperative pain scores in the caudal group than in the penile group.…”

Section: Discussionmentioning

confidence: 99%

Low-dose caudal versus dorsal penile nerve block for postoperative analgesia after circumcision: a randomized comparative study

El Sersi,

Zaki,

Elnaggar

et al. 2023

ait

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Circumcision is a well-recognized surgical procedure that has been described since ancient times [1]. It is estimated that about 30% of males undergo circumcision worldwide [2]. It is usually carried out for religious reasons in Muslim and Jewish countries but is also performed due to medical indications, which include chronic sclerosing inflammation and phimosis [3].Pain after paediatric circumcision is severe, especially during the early postoperative period. Inadequate pain control in paediatrics could pose adverse effects, including, adverse haemodynamic, hormonal, metabolic, immunological-inflammatory responses, postoperative restless and agitation, disturbed sleep rhythm, and exaggerated pain perception with later painful surgical exposures. Therefore, it is better to prevent the onset of pain than to relieve it [4,5].Regional anaesthesia procedures can be safely utilized as adjuvant to general anaesthesia to

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Caudal block versus Penile block for postoperative ‎analgesia in children undergoing hypospadias repair

Cited by 5 publications

References 7 publications

Caudal Block for Analgesia in Pediatrics Undergoing Hypospadias Repair Surgery under General Anesthesia

Caudal Block for Analgesia in Pediatrics Undergoing Hypospadias Repair Surgery under General Anesthesia

Comparing Postoperative Analgesia of Caudal and Penile Blockade using Bupivacaine in Children Undergoing Hypospadias Repair

Low-dose caudal versus dorsal penile nerve block for postoperative analgesia after circumcision: a randomized comparative study

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