Hypospadias repair and caudal analgesia: biases and myths hinder meaningful meta-analysis

Haydar, Bishr; Freed, Karen

doi:10.1136/rapm-2019-100592

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…However, no evidence-based data prove that CB results in penile edema. 6 Goel et al 15 conducted a meta-analysis and showed the association between CB and complications after hypospadias repair; nevertheless, the report observed bias in published studies in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Akgül¹,

Canmemis²,

Eyvazov³

et al. 2022

Balkan Med J

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Background: The major influencing factors for complications during hypospadias repair are the original location of the meatus, previous urethral surgery, surgical technique, and surgeon’s experience. While the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial.hile the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial. Aims: To determine the effect of caudal block and penile block on complication rates of hypospadias repair in patients with subcoronal hypospadias. Study Design: Retrospective cross-sectional study. Methods: Data of children who underwent hypospadias repair between 2011 and 2019 in our clinic (n = 770) were reviewed retrospectively. Only patients with subcoronal hypospadias and who underwent tubularized incised plate urethroplasty, performed by the same two experienced surgeons (n = 279), were included in the study. The exclusion criteria were incomplete data and follow-up time shorter than 12 months. Data of 279 patients were analyzed. Patients were divided into two groups according to the analgesia type: caudal block (n = 95) and penile block (n = 184), and complication rates were compared between these groups. Results: The median age was 36 months in the caudal block group and 30 months in the penile block group ( P = 0.390). The median follow-up times were 54 and 42.7 months in the caudal and penile block groups, respectively. Total complication rates did not differ significantly between the groups and were determined as 10.5% and 12.5% in the caudal and penile groups, respectively. Urethrocutaneous fistula rates were observed as 2.1% and 4.3% (p=0.50). None of the patients had penile chordee and no penile plication was performed in the whole group. Conclusion: This study shows that there is no increase in post-repair complications in patients with subcoronal hypospadias who underwent caudal block.

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Section: Discussionmentioning

confidence: 99%

“…Then, the debate in the literature began, and the effect of the regional analgesia technique on complication rates of hypospadias repair has been discussed. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15…”

Section: Introductionmentioning

confidence: 99%

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Akgül¹,

Canmemis²,

Eyvazov³

et al. 2022

Balkan Med J

View full text Add to dashboard Cite

show abstract

“…Thank you for the opportunity to respond to Dr Haydar’s1 letter. We appreciated that Dr Haydar and his coauthors found our paper2 of interest.…”

mentioning

confidence: 99%

Response to ‘Hypospadias repair and caudal analgesia: biases and myths hinder meaningful meta-analysis’ by Haydar and Freed

Zhu

Zhang

2019

Reg Anesth Pain Med

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Hypospadias repair and caudal analgesia: biases and myths hinder meaningful meta-analysis

Cited by 2 publications

References 7 publications

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Effects of Caudal and Penile Blocks on the Complication Rates of Hypospadias Repair

Response to ‘Hypospadias repair and caudal analgesia: biases and myths hinder meaningful meta-analysis’ by Haydar and Freed

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