Incidence of Urethrocutaneous Fistula With and Without Caudal Epidural Block
Status:
Completed
Trial end date:
2019-11-28
Target enrollment:
Participant gender:
Summary
The study is designed to explore any association between the caudal epidural block(CEB) given
for perioperative analgesia and the occurrence of urethrocutaneous fistula postoperatively in
children undergoing distal hypospadias repair .We also intend to study the duration of penile
engorgement due to CEB causing penile oedema which may subsequently play a role in fistula
formation. The pilot study will recruit children under 8 years of age diagnosed with distal
hypospadias scheduled to undergo Tubularised Incised Plate Urethroplasty, operated by a
single paediatric surgeon. General anaesthesia will be induced with sevoflurane in oxygen
nitrous oxide mixture supplemented by fentanyl citrate and atracurium besylate in all
children. LMA Pro SealTMof appropriate size will be inserted. Children in group I will then
be given caudal epidural block (CEB) as per our practice protocol. Children in group II will
be given additional intravenous fentanyl citrate. All children will be followed
postoperatively till 3 months to evaluate incidence of urethtocutaneous fistula. The
prospective study attempts to eliminate previously reported confounding factors.