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Pendulum swings again in favour of caudal block for hypospadias

Published:October 15, 2022DOI:https://doi.org/10.1016/j.jpurol.2022.09.030
      We read with interest Alizadeh's recent RCT [
      • Alizadeh F.
      • Amraei M.
      • Haghdani S.
      • Honarmand A.
      The effect of caudal epidural block on the surgical complications of hypospadias repair in children aged 6 to 35 months: a randomized controlled trial.
      ] which showed that there was no increase in hypospadias complications with usage of caudal epidural block (CEB). Interestingly there are already four meta-analyses published on this subject. Goel et al. [
      • Goel P.
      • Jain S.
      • Bajpai M.
      • Khanna P.
      • Jain V.
      • Yadav D.
      Does caudal analgesia increase the rates of urethrocutaneous fistula formation after hypospadias repair? Systematic review and meta-analysis.
      ] in their 2019 meta-analysis reported that in patients undergoing hypospadias repair administration of CEB was associated with a higher risk of fistula formation and other urethroplasty-related complications (RR 2.01).

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      References

        • Alizadeh F.
        • Amraei M.
        • Haghdani S.
        • Honarmand A.
        The effect of caudal epidural block on the surgical complications of hypospadias repair in children aged 6 to 35 months: a randomized controlled trial.
        J Pediatr Urol. 2022; 18: 59.e1-59.e6https://doi.org/10.1016/j.jpurol.2021.11.009
        • Goel P.
        • Jain S.
        • Bajpai M.
        • Khanna P.
        • Jain V.
        • Yadav D.
        Does caudal analgesia increase the rates of urethrocutaneous fistula formation after hypospadias repair? Systematic review and meta-analysis.
        Indian J Urol. 2019; 35: 222https://doi.org/10.4103/iju.IJU_252_18
        • Tanseco P.P.
        • Randhawa H.
        • Chua M.E.
        • Blankstein U.
        • Kim J.K.
        • McGrath M.
        • et al.
        Postoperative complications of hypospadias repair in patients receiving caudal block vs. non-caudal anesthesia: a meta-analysis.
        Can Urol Assoc J = J l’Association Des Urol Du Canada. 2018; 13: E249-E257https://doi.org/10.5489/cuaj.5688
        • Zhu C.
        • Wei R.
        • Tong Y.
        • Liu J.
        • Song Z.
        • Zhang S.
        Analgesic efficacy and impact of caudal block on surgical complications of hypospadias repair: a systematic review and meta-analysis.
        Reg Anesth Pain Med. 2019; 44: 259-267https://doi.org/10.1136/rapm-2018-000022
        • Adler A.C.
        • Bhatia V.P.
        • Chandrakantan A.
        • Nathanson B.H.
        • Ouellette L.
        • Austin P.F.
        Association of analgesic block with the incidence of complications following hypospadias surgery; A meta-analysis.
        Urology. 2022; 166: 11-17https://doi.org/10.1016/j.urology.2022.03.002

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