ISSN : 2146-3123
E-ISSN : 2146-3131

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair
Ahsen Karagözlü Akgül1, Arzu Canmemiş2, Ali Eyvazov3, Hilal Hürel3, Gürsu Kiyan3, Tümay Umuroğlu4, Halil Tuğtepe1
1Department of Pediatric Surgery, Division of Pediatric Urology, Faculty of Medicine Marmara University, İstanbul, Turkey
2Clinic of Pediatric Urology Ministry of Health, Göztepe Prof Dr Süleyman Yalçın Hospital, İstanbul, Turkey
3Department of Pediatric Surgery, Faculty of Medicine Marmara University, İstanbul, Turkey
4Department of Anaesthesiology and Reanimation, Faculty of Medicine Marmara University, İstanbul, Turkey
DOI : 10.4274/balkanmedj.galenos.2022.2022-1-62

Background: The major influencing factors for complications during hypospadias repair are the original location of the meatus, previous urethral surgery, surgical technique, and surgeon’s experience. While the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial.
Aims: To determine the effect of caudal block and penile block on complication rates of hypospadias repair in patients with subcoronal hypospadias.
Study Design: Retrospective cross-sectional study.
Methods: Data of children who underwent hypospadias repair between 2011 and 2019 in our clinic (n = 770) were reviewed retrospectively. Only patients with subcoronal hypospadias and who underwent tubularized incised plate urethroplasty, performed by the same two experienced surgeons (n = 279), were included in the study. The exclusion criteria were incomplete data and follow-up time shorter than 12 months. Data of 279 patients were analyzed. Patients were divided into two groups according to the analgesia type: caudal block (n = 95) and penile block (n = 184), and complication rates were compared between these groups.
Results: The median age was 36 months in the caudal block group and 30 months in the penile block group (P = 0.390). The median follow-up times were 54 and 42.7 months in the caudal and penile block groups, respectively. Total complication rates did not differ significantly between the groups and were determined as 10.5% and 12.5% in the caudal and penile groups, respectively. Urethrocutaneous fistula rates were observed as 2.1% and 4.3% (p=0.50). None of the patients had penile chordee and no penile plication was performed in the whole group.
Conclusion: It was observed that post-repair complications were not significantly increased in patients with subcoronal hypospadias who underwent caudal block.

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