Giving caudal-epidural block (CEB) is a common practice by pediatric anesthesiologists
during hypospadias repair. It provides adequate intraoperative and postoperative analgesia.
However, several studies have questioned its safety in terms of increased incidence
of postoperative complications.
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References
- Does caudal analgesia increase the rates of urethrocutaneous fistula formation after hypospadias repair? Systematic review and meta-analysis.Indian J Urol. 2019; 35: 222-229https://doi.org/10.4103/iju.IJU_252_18
- Postoperative com- plications of hypospadias repair in patients receiving caudal block vs. non-caudal anes- thesia: a meta-analysis.Can Urol Assoc J Z J l’Association Des Urol Du Canada. 2018; 13: E249e57https://doi.org/10.5489/cuaj.5688
- Analgesic efficacy and impact of caudal block on surgical complications of hypo- spadias repair: a systematic review and meta-analysis.Reg Anesth Pain Med. 2019; 44: 259e67https://doi.org/10.1136/rapm-2018-000022
- Association of analgesic block with the incidence of complications following hypospadias surgery; A meta-analysis.Urology. 2022; 166: 11e7https://doi.org/10.1016/j.urology.2022.03.002
- Surgical outcome in children undergoing hypospadias repair under caudal epidural vs penile block.Paediatr Anaesth. 2012; 22: 707-712https://doi.org/10.1111/j.1460-9592.2011.03702.x
Article info
Publication history
Published online: February 14, 2023
Accepted:
February 3,
2023
Received:
February 1,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.