• R J Burden, S W O'Kelly, D Sutton, and J Cumming.
• Shackleton Department of Anaesthesia, Southampton University Hospital Trust, UK.
• Br J Urol. 1997 Sep 1; 80 (3): 472-5.

ObjectiveTo assess whether the use of a spermatic-cord block contributes any additional analgesia to that of a conventional analgesic regimen in day-case testicular surgery.Patients And MethodsIn a randomized, double-blind controlled study, 48 patients undergoing day-case testicular surgery received general anaesthesia together with fentanyl and diclofenac for analgesia. In addition, 22 of these patients received 10 mL of 0.5% plain bupivacaine into the spermatic cord at the conclusion of surgery. Visual-analogue pain scores were recorded for each group over the following 24 h.ResultsThe visual-analogue pain scores were significantly lower in the immediate recovery period in patients receiving the spermatic-cord block.ConclusionThe spermatic-cord block reduced discomfort in the immediate post-operative period in patients undergoing testicular surgery and the procedure should be encouraged to improve the quality of post-operative pain management in such procedures.

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