The Journal of urology
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The Journal of urology · Sep 1997
Randomized Controlled Trial Comparative Study Clinical TrialPenile block timing for postoperative analgesia of hypospadias repair in children.
It has been well established that a dorsal penile nerve block immediately after surgery decreases postoperative pain in children undergoing hypospadias repair. However, to our knowledge the efficacy of a penile block immediately before versus immediately after surgery for postoperative pain control has not been previously studied in such children. ⋯ Two penile blocks performed at the beginning and conclusion of hypospadias repair, respectively, provide better postoperative pain control than 1 penile block done before or after surgery (p < 0.05). These patients require less analgesic than those who receive a penile block only before or only after surgery.
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The Journal of urology · Sep 1997
Critical analysis of the clinical presentation of acute scrotum: a 9-year experience at a single institution.
We assessed the significance of the clinical presentation of boys who underwent surgical exploration for acute scrotum. ⋯ We believe that any boy 11 years old or older with scrotal pain less than 12 hours in duration that is associated with nausea or vomiting should be considered to have torsion of the spermatic cord. In this day of cost-effective medical management it is not necessary to perform imaging in this subset of boys before surgical exploration.