Comparison of Penile Block Versus Intravenous Paracetamol in Boys Undergoing Circumcision Under General Anesthesia for Pain Management

Aleena Tahir and Waqas Ahmed

ABSTRACT

Objective: To find a standard of care for postoperative pain management following circumcision by comparing dorsal penile block with intravenous paracetamol.

Study Design: Randomized clinical trial study

Place and Duration of Study: This study was conducted at the Pediatric surgery Nishtar Hospital, Multan form February 2021 to January 2022.

Methods: Postoperative pain management measures were compared among 2 groups of children. At the conclusion of the circumcision procedure, a researcher who was blinded to the pain relief method used the Children’s Hospital Eastern Ontario Pain Scale (CHEOPS) to assess pain. This test was also performed at 30, 60, 120, and 180 min after the procedure.

Results: Mean CHEOPS 30 ́ of Group A and Group B was 7.77±2.48 and 8.00±2.05, respectively. (p=0.567). Mean HR 30 ́ of Group A and Group B was 114.89±8.95 and 112.29±8.01, respectively. (p=0.084). Mean RR 30 ́ of Group A and Group B was 29.75±3.49 and 31.08±3.59, respectively. (p=0.035). Mean CHEOPS 180 ́ of Group A and Group B was 5.43±1.72 and 4.98±1.68, respectively. (p=0.138). Mean HR 180 ́ of Group A and Group B was 104.88±15.33 and 110.14±16.76, respectively. (p=0.064). Mean RR 180 ́ of Group A and Group B was 31.52±5.58 and 30.68±5.35, respectively. (p=0.380).

Conclusion: This study demonstrates that neither penile block nor intravenous paracetamol shows superiority in reducing pain after circumcision, indicating that both methods can be used with confidence. However, it is essential to consider the potential side effects associated with regional anaesthesia and systemic analgesic applications.

Key Words: Boys, Circumcision, Postoperative pain, Paracetamol, CHEOPS, Penile block

Citation of article: Tahir A, Ahmed W. Comparison of Penile Block Versus Intravenous Paracetamol in Boys Undergoing Circumcision Under General Anesthesia for Pain Management. Med Forum 2024;35(11):
173-176. doi:10.60110/medforum.351138.