Caudal vs. Pudendal Block in Peds GU

Caudal vs. Pudendal Block for Early Postoperative Pain Control in a Pediatric Population Undergoing Lower Genitourinary Surgery

This study will compare two techniques to minimize pain during and after penile surgery in children undergoing certain urologic surgeries. These two approaches include the caudal nerve block and the pudendal nerve block.

Inclusion Criteria:

• Undergoing penile genitourinary surgery
• ASA class 1-3

Exclusion Criteria:

• Female patients
• Male children <6 months or >/= 3 years of age
• ASA class >3
• Surgery at satellite location (non-Prentiss)
• Concurrent non-lower GU tract surgery
• Sacrospinal abnormality
• History of chronic pain requiring opioid analgesics
• Inability to tolerate and receive acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), alpha-2 agonists, or local anesthetics
• History of malignant hyperthermia
• History of coagulopathy