Pudendal Block Versus Penian Block For Circumcision In Children

Université Libre de Bruxelles

Status: Unknown

Conditions: Postoperative Pain; Circumcision; Regional Anesthesia

Treatments: Procedure: circumcision; Drug: Lidocaine; Drug: Ropivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT03046290

U1111-1191-4760 (Other Identifier)

B406201630517

Details and patient eligibility

About

The authors study the efficacy of the pudendal versus penile block for the relief of postoperative pain in children receiving ambulatory circumcision.

In this prospective, double-blind, randomized, parallel-arm trial, 60 children recruited during the anesthesia consultation will be allocated a general anesthesia with a pudendal block (PUD group) or a penile block (PEN group).

Each block will be made with equal parts lidocaine 1% and ropivacaine 0.75% (0.3 ml/kg).

Enrollment: 60 estimated patients

Sex: Male

Ages: 1 to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• circumcision in day surgery hospital

Exclusion criteria

• allergy to amino-amide local anesthetics
• parental consent not received
• infection at injection site

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

Pudendal Block

Active Comparator group

Description:

The anesthesia is produced by blocking the pudendal nerves near the ischial spine of the pelvis.Local anesthetic (mixed of ropivacaine and lidocaine) is injected into the pudendal canal where the pudendal nerve is located.

Treatment:

Drug: Lidocaine

Procedure: circumcision

Drug: Ropivacaine

Penian Block

Active Comparator group

Description:

The anesthesia is produced by blocking the dorsal penile nerves. Local anesthetic (mixed of ropivacaine and lidocaine)is injected under the pubis symphysis just below the Buck fascia where the nerve is located.

Treatment:

Drug: Lidocaine

Procedure: circumcision

Drug: Ropivacaine