title: A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial.
abstract: We compared the analgesic and anaesthetic efficacy of pudendal nerve block with that of dorsal penile nerve block in male patients aged 3-5 years of age, undergoing elective circumcision. Thirty patients had a nerve stimulator-guided pudendal nerve block with two separate injection points 1.5-2 cm from the centre of the anus, and thirty patients received a dorsal penile nerve block. The same total anaesthetic volume of 0.3 ml.kg(-1) was used in both groups. The pudendal nerve group showed significantly lower postoperative pain scores than the dorsal group (SD) (p < 0.05), and significantly fewer patients consumed analgesics in the pudendal group than the dorsal group: 0 vs 5 (17%) at 0 and 6 h, respectively. This study demonstrates the effectiveness of pudendal nerve block in comparison to the dorsal nerve block, with improved postoperative outcomes in children undergoing circumcision.
authors.affiliation: Paediatric Department, Makassed General Hospital, Beirut, Lebanon. zouhnaja@yahoo.com
authors.forename: Z
authors.initials: Z
authors.lastname: Naja
authors.forename: M A
authors.initials: MA
authors.lastname: Al-Tannir
authors.forename: W
authors.initials: W
authors.lastname: Faysal
authors.forename: N
authors.initials: N
authors.lastname: Daoud
authors.forename: F
authors.initials: F
authors.lastname: Ziade
authors.forename: M
authors.initials: M
authors.lastname: El-Rajab
mesh_terms: D002675:Child, Preschool; D002944:Circumcision, Male / Q000379:methods*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010413:Penis / Q000294:innervation*