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The aim of this prospective randomized study is to assess the analgesic efficacy of Pudendal block compared with penil block for pediatric patients undergoing circumsion concerning postoperative analgesic consumption within 24 hours.
In this prospective study, patients will be randomized into 2 groups, either receiving penil Block( PNL) or nerve stimulator-guided Pudendal Nerve Block(PNB). Analgesic consumption will be assessed during the first 24 hours postoperatively. The "CHEOPS pain scale" will use to assess postoperative pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pudendal block group in circumcision | Active Comparator | Nerve stimulated pudendal nerve block performed under general anesthesia |
|
| Penil block group in circumcision | Active Comparator | Penil block performed by surgeon under general anesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| penil or pudendal nerve block in circumcision | Procedure | regional analgesia methods during the circumsion nerve stimulator guided pudendal block performed by anesthesiologist/ penil block performed by surgeon before circumcision |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain evaluatiom | CHEOPS pain scale | 24 hour |
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Inclusion Criteria:
ASA I-II patients, aged 1-12 years old patient undergoing circumcision,
Exclusion Criteria:
history of local anesthetics's allergy, infection at the injection side, anatomical abnormalities, coagulopaty, bleeding disease, liver disease
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18843636 | Background | Cyna AM, Middleton P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database Syst Rev. 2008 Oct 8;2008(4):CD003005. doi: 10.1002/14651858.CD003005.pub2. |
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| ID | Term |
|---|---|
| D002944 | Circumcision, Male |
| ID | Term |
|---|---|
| D046289 | Body Modification, Non-Therapeutic |
| D003357 | Cosmetic Techniques |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| D013521 | Urologic Surgical Procedures, Male |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |