Anesthesia; Functional
Conditions
Keywords
Intraoperative penile engorgement, Anaesthesia, Urogenital surgery
Brief summary
Penile engorgement during intraoperative period is of rare occurrence however when do happens, leads to difficulty in performing and even cancellation of elective urogenital surgery. The mechanism behind intraoperative penile engorgement is complex and involves various factors. One common myth is that penile engorgement occurs only during spinal anaesthesia and not in general anaesthesia. In this study we intend to report the incidence and management of intraoperative penile engorgement in pediatric patients undergoing urogenital operations under spinal anesthesia with/without sedation over a period of one year. The pathophysiology and role of common contributing factors leading to intraoperative penile engorgement are also discussed.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologist grade1 & 2 * Elective urogenital surgery of expected duration less than one hour
Exclusion criteria
* patients with local infection, coagulation abnormalities, expected duration of surgery \>1 hour and spinal anomalies. * parents of patient not giving consent for spinal anaesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative penile engorgement | sixty minutes from start of anaesthesia | Incidence of intraoperative penile engorgement under anaesthesia |