Comparison of Sacral ESP Block and Caudal Block in Pediatric Hypospadias Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age6-7
SponsorTC Erciyes University

About this trial

Hypospadias surgery in pediatric patients requires effective postoperative analgesia to ensure patient comfort and reduce perioperative stress. Caudal epidural block is widely used for analgesia in pediatric urological procedures; however, alternative regional techniques such as the sacral erector spinae plane (ESP) block have recently gained attention.

This prospective comparative study aims to compare the analgesic efficacy of sacral ESP block and caudal epidural block in pediatric patients undergoing hypospadias surgery. Participants will be allocated to receive either sacral ESP block or caudal epidural block according to the study protocol.

The primary outcome will be postoperative pain scores within the first 24 hours after surgery. Secondary outcomes will include total analgesic consumption, time to first rescue analgesia, and block-related complications.

Eligibility criteria

Qualifiers

Male patients aged between 6 months to 7 years

Scheduled for hypospadias repair surgery

ASA physical status I-II

No known allergy to local anesthetic agents

Disqualifiers

Known congenital coagulopathy

Known allergy to local anesthetic agents

Severe systemic disease (ASA III-IV)

Severe organ failure

Trial design

Treatments tested in this trial

  • Sacral ESP Block
  • Caudal Epidural Block

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators