The impact of the application of a penile block before circumcision on the postoperative FLACC score and analgesic requirement.
OBJECTIVE
We aimed to evaluate the effect of the application of a penile block before circumcision on the postoperative Face, Legs, Activity, Cry, and Consolability (FLACC) score and analgesic requirement.


METHODS
In this study, 240 patients with an age range of 1-9 years who were circumcised between April 2012 and August 2012 were included in this study. Penile block was applied in only 125 of 240 patients (Group 1) and for the remaining 115 patients penile block was not performed (Group 2). Both groups were compared in terms of age, operation times, FLACC score and analgesic requirements.


RESULTS
The mean age of the patients was 4.8±2.1 years in Group 1 and 5.3±3.1 years in Group 2 (p=0.126). Mean operating time was 14.9±5.1 min in Group 1 and 15.2±6.2 min in Group 2 (p=0.242). The mean FLACC score of the patients was 3.1±1.9 (0-6) in Group 1 and 6.4±3.3 (3-10) in Group 2 (p<0.05). Postoperative analgesic was required in 20 patients (16%) in Group 1, and 75 patients (65%) in Group 2. Early complications were not observed in any patients.


CONCLUSIONS
We detected a significantly lower postoperative analgesic requirement and a mean FLACC score in patients who had been treated with application of a penile block before circumcision.
Clinic of Urology, Kahramanmaraş Dr. Süreyya Adanalı Göksun State Hospital, Kahramanmaraş, Turkey.
Sacit Nuri
SN
Görgel
Clinic of Anesthesiology and Reanimation, Kahramanmaraş Dr. Süreyya Adanalı Göksun State Hospital, Kahramanmaraş, Turkey.
Banu
B
Erten Tol
Analgesic requirement; FLACC score; penile block