Dorsal penile block versus caudal epidural anesthesia effect on complications post-hypospadias repair: Dilemmas, damned dilemmas and statistics

Braga, Luis H.; McGrath, M. A.; Farrokhyar, Forough

doi:10.1016/j.jpurol.2020.08.009

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Most studies have included more than one surgical technique for hypospadias repair. 5 , 8 , 13 , 14 , 29 As the surgical technique is a major factor that affects the outcomes of surgery, 3 , 9 we reviewed only patients who underwent TIPU. The incidence of complications after hypospadias repair ranges from 5% for distal hypospadias to 63% for proximal hypospadias.…”

Section: Discussionmentioning

confidence: 99%

“…Our study groups were similar in terms of age, chordee, and use of tourniquet or epinephrine. Braga et al 9 described these limitations in the literature to determine the effect of CB and PB on complications after hypospadias repair; therefore, we designed the most homogenous groups from our documents.…”

Section: Discussionmentioning

confidence: 99%

“…Then, the debate in the literature began, and the effect of the regional analgesia technique on complication rates of hypospadias repair has been discussed. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15…”

Section: Introductionmentioning

confidence: 99%

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Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Akgül¹,

Canmemis²,

Eyvazov³

et al. 2022

Balkan Med J

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Background: The major influencing factors for complications during hypospadias repair are the original location of the meatus, previous urethral surgery, surgical technique, and surgeon’s experience. While the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial.hile the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial. Aims: To determine the effect of caudal block and penile block on complication rates of hypospadias repair in patients with subcoronal hypospadias. Study Design: Retrospective cross-sectional study. Methods: Data of children who underwent hypospadias repair between 2011 and 2019 in our clinic (n = 770) were reviewed retrospectively. Only patients with subcoronal hypospadias and who underwent tubularized incised plate urethroplasty, performed by the same two experienced surgeons (n = 279), were included in the study. The exclusion criteria were incomplete data and follow-up time shorter than 12 months. Data of 279 patients were analyzed. Patients were divided into two groups according to the analgesia type: caudal block (n = 95) and penile block (n = 184), and complication rates were compared between these groups. Results: The median age was 36 months in the caudal block group and 30 months in the penile block group ( P = 0.390). The median follow-up times were 54 and 42.7 months in the caudal and penile block groups, respectively. Total complication rates did not differ significantly between the groups and were determined as 10.5% and 12.5% in the caudal and penile groups, respectively. Urethrocutaneous fistula rates were observed as 2.1% and 4.3% (p=0.50). None of the patients had penile chordee and no penile plication was performed in the whole group. Conclusion: This study shows that there is no increase in post-repair complications in patients with subcoronal hypospadias who underwent caudal block.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Akgül¹,

Canmemis²,

Eyvazov³

et al. 2022

Balkan Med J

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“…Foll0 crossing the sacro-coccygeal ligament, redirection of the needle thus become at an angle of thirty in relation to the skin surface, and then advanced a few millimeters into sacral canal. If the needle becomes in contact with the bony wall of sacral canal ventrally, it must be positioned back lightly [22] . Following confirming absent spontaneous reflux of blood or CSF (more sensitive when compared to the aspiration test), injection of local anesthesia can be done with no resistance and slow over about 1 min.…”

Section: Caudal Block Techniques 1) Blind Techniquementioning

confidence: 99%

Post-operative analgesia in penile surgeries in pediatrics with focus on sacral erector spinae plane block and caudal block

Elbahy,

Abdalraheem,

Elrahman

et al. 2023

Int. J. Med. Anesthesiology

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Surgical postoperative pain commonly occurs in pediatrics. Inadequate treatment of such problem might lead to behavioral disturbance, disordered sleeping patterns, parental dissatisfaction, chronic postoperative pain, and might negatively affect the follow-up as well as future approaches. Multimodal analgesia which involves using > one method of pain controlling to achieve synergistic beneficial analgesia influences with decreasing opioid-related adverse events (opioids, non-opioid drugs, regional and local analgesia). The ESPB is a relatively novel interfacial plane block that is utilized for postoperative analgesia in penile surgeries in pediatrics. Caudal epidural block in children is a commonly used technique of regional anesthesia; it's an effective method that provide perioperative analgesia for any painful sub-umbilical intervention.

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Anästhesiologische Besonderheiten in der Kinder- und Jugendurologie

Schöler

Terboven²

2023

Die Kinder- Und Jugendurologie

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Dorsal penile block versus caudal epidural anesthesia effect on complications post-hypospadias repair: Dilemmas, damned dilemmas and statistics

Cited by 5 publications

References 16 publications

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Post-operative analgesia in penile surgeries in pediatrics with focus on sacral erector spinae plane block and caudal block

Anästhesiologische Besonderheiten in der Kinder- und Jugendurologie

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