Penile block is associated with less urinary retention than caudal anesthesia in distal hypospadia repair in children

Background Caudal anesthesia (CA) is widely recommended due to excellent analgesia in distal hypospadia repairs, but its potential side effect on urinary retention interferes with patient comfort. To objective is to determine the impact of CA versus penile block (PB) on postoperative micturition. Me...

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Bibliographic Details
Published in:World journal of urology 2010-02, Vol.28 (1), p.87-91
Main Authors: Metzelder, Martin Lothar, Kuebler, J. F., Glueer, S., Suempelmann, R., Ure, B. M., Petersen, C.
Format: Article
Language:English
Subjects:
Anesthesia, Caudal
Biological and medical sciences
Child
Child, Preschool
Humans
Hypospadias - surgery
Incidence
Infant
Male
Malformations of the urinary system
Medical sciences
Medicine
Medicine & Public Health
Nephrology
Nephrology. Urinary tract diseases
Nerve Block
Oncology
Original Article
Penis
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Retrospective Studies
Urinary Retention - epidemiology
Urinary Retention - prevention & control
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urology
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Summary:Background Caudal anesthesia (CA) is widely recommended due to excellent analgesia in distal hypospadia repairs, but its potential side effect on urinary retention interferes with patient comfort. To objective is to determine the impact of CA versus penile block (PB) on postoperative micturition. Methods Sixty distal hypospadia repairs performed over a 48-month period were analyzed concerning the impact of applicated analgesia on postoperative micturition. Inclusion criteria were Mathieu or Snodgrass procedures, use of a non-dribbling urethral stent, CA or PB. Endpoint was first postoperative micturation (6 h). Results CA was used in 27 and PB in 33 cases. Compared groups had similar age (mean: 31 months, range 12–68 vs. 28 months, range: 14–145), weight (mean: 13 kg, range 9–18 vs. 15 kg, range 8–59), operation duration (mean 61 min, range 30–105 vs. mean 67 min, range 35–120) and surgical technique (Mathieu/Snodgrass: 7/20 CA vs. 19/14 PB). Micturation was significantly less impaired in the PB than CA group (5/33 vs. 15/27; p  
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-009-0420-2