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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dorsal penile nerve block group | Active Comparator | Patients that had regional anesthesia using dorsal penile nerve block |
|
| Caudal epidural block group | Active Comparator | Patients that had regional anesthesia using caudal epidural block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caudal Block Anesthesia | Procedure | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first rescue analgesia in hours | 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). | From surgery time to the next day after surgery. |
| Intraoperative Fentanyl dose | During the operations |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kafrelsheikh University Hospitals | Kafr ash Shaykh | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40777159 | Background | Lin Z, Shao Y, Li H, Chen Z, Li Y, Wu S, Liu N, Zhang Z. Comparing the analgesic effects of ultrasound-guided caudal block and dorsal penile nerve block in pediatric concealed penis correction surgery: a randomized controlled trial. Front Pediatr. 2025 Jul 24;13:1607309. doi: 10.3389/fped.2025.1607309. eCollection 2025. | |
| 40385755 |
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| ID | Term |
|---|---|
| D007021 | Hypospadias |
| ID | Term |
|---|---|
| D014564 | Urogenital Abnormalities |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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|
| Dorsal Penile Block Anesthesia | Procedure | 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 |
|
| Kumari S, Kumar M, Sinha M, Singha SK, Gupta H, Dubey R. A Comparison of the Ultrasound-Guided Dorsal Penile Block and Ultrasound-Guided Caudal Epidural Block for Postoperative Analgesia in Children Undergoing Hypospadias Surgery: A Randomized Controlled Study. Cureus. 2025 Apr 16;17(4):e82351. doi: 10.7759/cureus.82351. eCollection 2025 Apr. |
| D010409 | Penile Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D052801 | Male Urogenital Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |