Comparison of the effects of ring block and dorsal penile nerve block on parental satisfaction for circumcision operation in children: randomized controlled trial
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In brief
In brief
This randomized controlled trial compared ring block versus dorsal penile nerve block for pediatric circumcision, evaluating parental satisfaction as the primary outcome. Both regional anesthesia techniques demonstrated equivalent parental satisfaction scores and similar analgesic effectiveness, with no clinically significant differences in postoperative pain or complications.
- Ring block and dorsal penile nerve block provide equivalent parental satisfaction for pediatric circumcision procedures.
- Both regional anesthesia techniques demonstrate similar analgesic efficacy and postoperative pain control in children.
- Parental satisfaction scores were comparable across pre-anesthesia, post-anesthesia, and hospital team parameters for both blocks.
- Ring block may address theoretical concerns about inadequate ventral penile shaft coverage with dorsal penile nerve block alone.
- Choice between ring block and DPNB can be based on provider preference rather than expected differences in parent satisfaction.
Written by the GCMD Library team from the article.
Abstract
Purpose
In children, circumcision is a procedure associated with perioperative pain and parental satisfaction is an important parameter in the evaluation of anesthesia procedures. Inadequate dorsal penile nerve block (DPNB) for the ventral shaft of the penis might impact parental satisfaction negatively. To evaluate this hypothesis, we compared the effects of penile ring block (RB) and dorsal penile nerve block (DPNB) on parental satisfaction. Postoperative pain, need for additional analgesia, intraoperative hemodynamic data, recovery status, side effects, and postoperative complications were evaluated as secondary outcomes between the blocks.
Methods
Parental satisfaction and anesthetic effectiveness of RB and DPNB for circumcision in children were compared. 86 patients were randomized 1:1 to Group RB and Group DPNB, which were administered the same dose of anesthesia. Parental satisfaction was evaluated with the Pediatric Anesthesia Parental Satisfaction Questionnaire (PAPS). Postoperative pain evaluations were made with the Face, Legs, Activity, Crying, Consolability Pain Scale (FLACC).
Results
In terms of parent satisfaction, no differences were detected between the groups in the pre-anesthesia, pre-anesthesia and post-anesthesia, post-anesthesia, hospital team, and anesthesia team parameters (p > 0.05). The scores of Group DPNB patients were higher only in the “Q11” subparameter in the “anesthesia team” parameter, and this difference was significant (0.024).
Conclusion
RB and DPNB were compared in circumcision, which is the most common surgical procedure for children. Parental satisfaction, anesthesia, and analgesic effects of both blocks were found to be similar.
Clinical trials
ACTRN12622001211752.