A comparative study between caudal and penile blockade in pediatric patients undergoing hypospadias repair

Abstract

Hypospadias repair is a painful intervention that is frequently performed in pediatric patients. It is generally performed under general anesthesia in order to eliminate fear and anxiety. Using optimal analgesic regimen provide safe and effective analgesia, reduce postoperative stress response and accelerate recovery from surgery. Many regional anesthesia techniques including the caudal epidural block, the classical dorsal penile nerve block (landmark-based) have been used for hypospadias repair surgeries to minimize pain and complications. In this study, the aim is to compare postoperative analgesia between caudal block and penile block with bupivacaine in elective hypospadias repair cases. The study was conducted on 60 randomly chosen children in Ain Shams University Hospitals after approval of the medical ethical committee. Patients were divided randomly into two groups, each group consisted of 30 patients group C and group P.