Sacit Nuri Görgel1, Banu Erten Tol2. 1. Clinic of Urology, Kahramanmaraş Dr. Süreyya Adanalı Göksun State Hospital, Kahramanmaraş, Turkey. 2. Clinic of Anesthesiology and Reanimation, Kahramanmaraş Dr. Süreyya Adanalı Göksun State Hospital, Kahramanmaraş, Turkey.
Abstract
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. MATERIAL AND 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. CONCLUSION: 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.
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. MATERIAL AND 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 patientspenile 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. CONCLUSION: 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.