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Ultrasound Guided Penile Block vs Pudendal Block for Hypospadias

Not Applicable
Completed
Conditions
Postoperative Pain
Interventions
Procedure: Penile Block
Procedure: Pudendal Block
Registration Number
NCT03496740
Lead Sponsor
Kocaeli University
Brief Summary

Pain after hypospadias surgery is a challenging issue to solve for anesthesists. Many different analgesia techniques were defined in literature for this purpose. The investigators have implemented application of ultrasound guided dorsal penile nerve block into practice for these type of surgeries. Main purpose of this study is to compare the efficacy of nerve stimulator guided pudendal nerve block with ultrasound guided dorsal penile nerve block for postoperative analgesia after hypospadias surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
36
Inclusion Criteria
  • 1 to 10 years of age
  • ASA I-II
  • Undergoing elective hypospadias surgery
Exclusion Criteria
  • infection of the skin at the site of needle puncture area
  • patients with known allergies to any of the study drugs
  • coagulopathy
  • ASA III-IV
  • Patients with neurological disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Penile BlockPenile BlockUltrasound guided dorsal penile nerve block will be administered after general anesthesia. 0,25% Bupivacaine 0,5ml/kg (max. 20ml) will be used for the blocks
Penile BlockBupivacaine (Block Drug)Ultrasound guided dorsal penile nerve block will be administered after general anesthesia. 0,25% Bupivacaine 0,5ml/kg (max. 20ml) will be used for the blocks
Pudendal BlockPudendal BlockNerve stimulator-guided pudendal block. 0,25% Bupivacaine 0,5ml/kg (max. 20ml) will be used for the blocks
Pudendal BlockBupivacaine (Block Drug)Nerve stimulator-guided pudendal block. 0,25% Bupivacaine 0,5ml/kg (max. 20ml) will be used for the blocks
Primary Outcome Measures
NameTimeMethod
Time to first analgesicpostoperative 7 day

First need for rescue analgesic after the surgery will be recorded

Secondary Outcome Measures
NameTimeMethod
Pain Scorespostoperative 48 hour

FLACC scale will be used. The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.

Trial Locations

Locations (1)

Kocaeli University Hospital

🇹🇷

İzmit, Kocaeli, Turkey

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