Comparing Sacral Erector Spinae Plane Block and Dorsal Penile Nerve Block for Pain Relief After Hypospadias Surgery in Boys Aged 1 to 7

What this Trial Is About

Researchers are evaluating the postoperative pain relief effectiveness of two regional anesthesia techniquesthe ultrasound-guided Sacral Erector Spinae Plane ESP block and the Dorsal Penile Nerve Block DPNBin male children aged 1 to 7 years undergoing hypospadias surgery. This randomized, double-blind trial aims to determine which block provides better pain control after surgery, focusing on pain scores measured with the FLACC scale at multiple time points, with special attention to the 12th postoperative hour. Participants will be randomly assigned to receive either the Sacral ESP block or the DPNB while under general anesthesia. The Sacral ESP block involves injecting 0.4 mLkg of 0.25% bupivacaine bilaterally in the plane between the multifidus muscle and sacral lamina with the child in a lateral position. The DPNB involves injecting the same dose of bupivacaine bilaterally under Bucks fascia at the penile base while the child is supine. Both procedures are performed with ultrasound guidance to enhance precision and safety. During the 24 hours following surgery, researchers will assess pain using the FLACC scale at 30 minutes, 1, 2, 6, 12, and 24 hours. They will also monitor total analgesic consumption and any postoperative complications within this period. The study involves close monitoring of pain and safety outcomes to compare the two nerve block methods. Participation includes anesthesia, nerve block administration, pain assessments, and observation during the first day after surgery.

Comparison of Sacral ESP Block and Dorsal Penile Nerve Block in Pediatric Hypospadias Surgery