Hypospadias, Hypospadias, Coronal
Conditions
Brief summary
The study focuses on comparing the caudal block (CB) and the dorsal penile nerve block (DPNB) via ultrasound guidance in regional anesthesia in hypospadias surgery.
Interventions
PROCEDURECaudal Block Anesthesia
Patients were positioned laterally for the procedure. The ultrasound transducer was first positioned transversely at the midline to visualize the sacral cornua, sacrococcygeal ligament, sacral bone, and sacral hiatus in a transverse view. It was then rotated 90° to obtain a longitudinal view of the sacrococcygeal ligament and sacral hiatus. A 22G, 50 mm needle was inserted caudal to cranial into the sacral canal under direct real-time longitudinal ultrasound guidance
PROCEDUREDorsal Penile Block Anesthesia
With the patient in a supine position, using aseptic precautions, a linear probe (6-13 MHz) was placed transversely at the root of the penis. The penis was held under gentle traction, and key anatomical structures, including the corpus cavernosum, corpus spongiosum, dorsal artery and vein, Buck's fascia, and tunica albuginea, were identified in the transverse plane
Sponsors
Ahmed Aouf
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
1 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* It included male children who underwent hypospadias surgery (distal or mid penile) from 1 to 6 years old with American Society of Anesthesiologists (ASA) classification 1 or 2.
Exclusion criteria
* children older than 6 years and younger than 1 year. * children with neurological, mental, and intellectual problems * bleeding tendency * allergy to any local anesthesia * contraindications to regional anesthesia, back anomalies * liver diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to first rescue analgesia in hours | From surgery time to the next day after surgery. | The time interval (measured in hours) from a specific starting point until the patient requires their first dose of additional pain medication (the "rescue" dose). |
| Intraoperative Fentanyl dose | During the operations | — |
Countries
Egypt
Outcome results
None listed