Comparison of Pudendal Nerve Block and Caudal Block for Hypospadias in Young Children

Nemours Children's Health

Status: Completed

Conditions: Hypospadias and Epispadias

Treatments: Procedure: Bilateral Pudendal block; Procedure: Caudal block

Study type: Interventional

Funder types: Other

Identifiers

NCT03145415

lh0001

Details and patient eligibility

About

The purpose of this randomized blinded prospective study is to compare the analgesic efficacy and duration of a Pudendal Nerve Block (PNB) to a Caudal Block (CB) for pediatric patients, ages 6 months to 2 years, undergoing hypospadias repair.

Full description

Hypospadias repair is one of the most common congenital malformations of the penis in the United States. It has an incidence of about 1 in 300 births. A combination of general anesthesia and a caudal block or general anesthesia combined with a pudendal nerve block are commonly used for hypospadias repair.

In our institution, hypospadias repair is typically done in infants and children ages 6 months to age two. A comparison of the efficacy of pudendal block versus the caudal block has not been undertaken in this younger population.

Enrollment: 60 patients

Sex: Male

Ages: 6 months to 2 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Boys undergoing hypospadias repair

Exclusion criteria

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

Bilateral Pudendal block

Experimental group

Description:

0.25 cc per kg of 0.2% ropivacaine will be injected once for right pudendal N block and the same volume for the left pudendal N block before the start of the surgery

Treatment:

Procedure: Bilateral Pudendal block

Caudal block

Active Comparator group

Description:

1 cc per kg of 0.2% ropivacaine in the caudal space given before the start of surgery

Treatment:

Procedure: Caudal block