Comparing Sacral ESP Block and Caudal Epidural Block for Pain Relief After Hypospadias Surgery in Boys Aged 6 Months to 7 Years

What this Trial Is About

Hypospadias is a common congenital urogenital condition in children that often requires surgical correction in early childhood. Effective pain relief after surgery is important to keep young patients comfortable and reduce stress during the recovery period. This study compares two methods of regional anesthesiasacral erector spinae plane ESP block and caudal epidural blockin children undergoing hypospadias repair to evaluate which provides better postoperative pain control. Participants will receive general anesthesia and then be assigned to one of two groups. One group will receive an ultrasound-guided sacral ESP block with 0.25% bupivacaine at 0.5 mLkg injected beneath the erector spinae muscle near the sacral vertebra. The other group will receive a caudal epidural block with the same dose of bupivacaine administered into the caudal epidural space using standard anatomical landmarks. Both procedures are done under general anesthesia before surgery. Childrens pain will be assessed at multiple points up to 24 hours after surgery using the FLACC scale. Researchers will also track total pain medication use, the time before the first additional pain relief is needed, and any complications related to the nerve blocks such as motor weakness or nausea. The study aims to provide detailed information on pain control effectiveness and safety of these two anesthesia techniques in young patients.

Comparison of Sacral ESP Block and Caudal Block in Pediatric Hypospadias Surgery