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S14-16
(P)
CAUDAL BLOCK VS DORSAL PENILE BLOCK IN HYPOSPADIAS REPAIR:
COMPARISON OF COMPLICATION RATES
Halil TUGTEPE
1
, Raziye ERGUN
1
, Emel COLAK
2
, Nicat VALIYEV
2
, David Terence THOMAS
3
, Aylin ISIK AKBAY
4
, Tumay
UMUROGLU
4
and Tolga E. DAGLI
1
1) Marmara University School of Medicine, Pediatric Surgery, Division of Pediatric Urology, Istanbul, TURKEY - 2)
Marmara University School of Medicine, Pediatric Surgery, Istanbul, TURKEY - 3) Pendik State Hospital, Pediatric
Surgery, Istanbul, TURKEY - 4) Marmara University School of Medicine, Anesthesiology and Reanimation, Istanbul,
TURKEY
PURPOSE
It has recently been suggested that caudal block may increase the complication rates in hypospadias through swelling of
the corpus cavernosum and decrease in oxygenisation during surgery. In this study we compared the complication rates
of children undergoing hypospadias repair according to whether they received caudal or penile block during surgery.
MATERIAL AND METHODS
The medical files of patients undergoing distal hypospadias repair from January 2011 to December 2014 were
retrospectively reviewed. Age at surgery, followup time, complications and peroperative analgesia (caudal block vs
dorsal penile block) were noted. Patients were grouped according to peroperative analgesia type and complication rates
of two groups were compared.
RESULTS
A total of 280 patients (156 caudal block and 124 penile block) were included in the study. For caudal block and penile
block groups, the average age at surgery was 42.9m and 56.2m and the average followup time was 27.2m and 21.6m
respectfully. There were a total of 23 patients (14.7%) with complications in the caudal block group. Complications were
fistula in 13 (8.3%), glans dehiscense in 9 (5.8%) and meatal stenosis in 1 patient (0.6%). For the penile block group,
complications were seen in 10 patients (8.1%). The complications were fistula in 7 (5.6%), glans dehiscense in 2
(1.6%) and meatal stenosis in 1 patient (0.8%). Statistical significance was not observed the difference between for
fistula, glans dehiscense, meatal stenosis or total complication rates.
CONCLUSIONS
This study has demonstrated no significant difference in complication rates of children undergoing distal hypospadias
repair when receiving either caudal or penile block as peroperative analgesia.