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Caudal Anesthesia Versus Local Anesthesia in Hypospadias
Sponsor: Necmi Kadıoğlu Hospital
Summary
Hypospadias is among the most common congenital genital malformations in boys and is typically treated through surgical intervention. During pediatric urological surgery, caudal anesthesia, also known as a caudal block, is frequently employed as a regional anesthetic technique. It has proven to be a safe and effective anesthetic approach in children, with a low rate of anesthesia-related complications. However, despite the low incidence of complications directly associated with the caudal block, there is limited and inconclusive evidence regarding its impact on surgical complications. Therefore, this randomized controlled superiority trial aims to evaluate whether the use of caudal anesthesia, compared to the dorsal penile block, is associated with an increased incidence of urethrocutaneous fistulas and glans dehiscence following hypospadias repair.
Official title: THE IMPACT OF CAUDAL BLOCK ANESTHESIA ON POSTOPERATIVE COMPLICATIONS IN DISTAL HYPOSPADIAS SURGERY: A MULTI-CENTER RANDOMIZED CONTROLLED TRIAL
Key Details
Gender
MALE
Age Range
6 Months - 48 Months
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2023-05-25
Completion Date
2024-08-30
Last Updated
2024-08-20
Healthy Volunteers
No
Interventions
Caudal block anesthesia
Anesthesia will be administered via inhalation induction with air/nitrous oxide and sevoflurane, followed by an injection of 0.25% bupivacaine (1 mL/kg) without epinephrine into the caudal canal, which is the sacral portion of the spinal canal.
Dorsal penile block anesthesia
Anesthesia will be administered using an inhalation induction method with air/nitrous oxide and sevoflurane, followed by the injection of 0.25% bupivacaine without epinephrine into the dorsal part of the penis.
Locations (3)
Ss. Cyril and Methodius University in Skopje, Pediatric Surgery, Skopje, Macedonia, the former Yugoslav Republic of North Macedonia
Skopje, North Macedonia
Ao Gk Medsi
Moscow, Russia
Necmi Kadioglu Esenyurt State Hospital
Istanbul, Turkey (Türkiye)