Analgesic efficacy of using topical anesthetic before dorsal penile nerve block in infant circumcision: A randomized-controlled study

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dc.contributor.authorErgin, İsmail Emre
dc.contributor.authorÖztürk, Abuzer
dc.contributor.authorAsdemir, Aydemir
dc.contributor.authorSaygin, Hüseyin
dc.date.accessioned2025-05-04T16:41:54Z
dc.date.available2025-05-04T16:41:54Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: The aim of this study was to investigate the effect of lidocaine-prilocaine cream (LPC) application on circumcision analgesia and algology before dorsal penile nerve block (DPNB). Patients and methods: Between January 2024 and April 2024, a total of 128 healthy male infants aged 1 to 12 months, who were screened and underwent circumcision under local anesthesia in our clinic, were included in this randomized-controlled study. The patients were divided into two groups as the DPNB group (DPNB group, n=64) and the DPNB+LPC group (n=64). The heart rate (HR), respiratory rate (RR), peripheral arterial oxygen saturation (SpO2) changes, and Neonatal Infant Pain Scale (NIPS) scores were measured during the surgical stages of the groups with and without topical analgesia before DPNB. The values at the time of DPNB injection, at the time of circumcision, and at 3 min after the end of the operation were recorded. Results: There was no statistically significant difference in the mean age and body weight of the patients between the groups (p>0.05). There was also no statistically significant difference between the HR, RR, and SpO2 of the groups before the operation (baseline), at the time of local analgesic needle insertion, during circumcision and after the operation (p>0.05). The NIPS scores at the time of local anesthetic needle insertion were significantly different (p=0.04), although there was no significant difference in the NIPS scores at the other time points (p>0.05). Conclusion: Our study results suggest that LPC application before DPNB yields favorable effects in terms of local anesthesia and ease of surgery, and it is a safe technique to apply. © 2024 Logos Medical Publishing. All rights reserved.
dc.identifier.doi10.62114/JTAPS.2024.53
dc.identifier.endpage78
dc.identifier.issn1305-5194
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85213214779
dc.identifier.scopusqualityQ4
dc.identifier.startpage73
dc.identifier.urihttps://doi.org/10.62114/JTAPS.2024.53
dc.identifier.urihttps://hdl.handle.net/20.500.12418/34970
dc.identifier.volume38
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherLogos Medical Publishing
dc.relation.ispartofCocuk Cerrahisi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250504
dc.subjectAnalgesics
dc.subjectdorsal penile nerve block
dc.subjectlidocaine-prilocaine cream
dc.subjectmale circumcision
dc.titleAnalgesic efficacy of using topical anesthetic before dorsal penile nerve block in infant circumcision: A randomized-controlled study
dc.typeArticle

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