Caudal Block for Distal Hypospadias Repair in Young Boys
Official title: The Effect of Caudal Block on the İncidence of Urethrocutaneous Fistula After Distal Hypospadias Repair: A Multicentre, Randomized Controlled Trial
Run by Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital · NCT07675798 · Data updated 2026-11-12
This trial tests whether adding a caudal block to general anesthesia affects fistula formation after distal hypospadias repair in boys aged 6–60 months.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 6 Months to 60 Months |
| Sex | Men only |
| Enrollment | 80 (estimated) |
| Sponsor | Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital Academic / other |
| Locations | 2 sites (Diyarbakır, Eyalet/Yerleşke and 1 other locations) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | August 1, 2026 |
| Study ends | August 15, 2026 |
| Registry record updated | June 30, 2026 |
| Trial ID | NCT07675798 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Male children 6–60 months scheduled for elective distal hypospadias repair, whose guardians provide informed consent.
✕Probably not a fit
Children with non-distal vs proximal hypospadias, prior hypospadias repair, or contraindications to caudal block may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, multicenter randomized trial enrolling 80 male children aged 6 to 60 months undergoing distal hypospadias repair. Participants are randomized 1:1 to receive caudal block with general anesthesia or general anesthesia alone, with outcomes including fistula formation, wound healing, pain scores, analgesic use, and length of stay tracked for 3–6 months postoperatively. Data on demographics, surgical details, and complications will be collected and analyzed using standard statistical tests. The study aims to clarify whether caudal anesthesia influences postoperative complications in this surgical population. It is conducted across four centers with centralized data analysis.
Why it matters
Potential benefit: If successful, the findings could guide anesthesia choices to minimize postoperative fistula risk after distal hypospadias repair.
How similar studies have gone: Previous observations suggested potential associations between caudal block and postoperative fistula, making this trial a needed, more definitive assessment.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male patients aged 6-60 months * Diagnosed with distal hypospadias * Scheduled for elective hypospadias repair * Written informed consent obtained from parent or legal guardian Exclusion Criteria: * Age \< 6 months or \> 60 months * Proximal or non-distal hypospadias * Previous hypospadias repair * Skin lesions at the epidural/caudal injection site * Coagulopathy * Known allergy to anesthetic agents, particularly bupivacaine hydrochloride * Spinal anomalies * Chronic granulomatous disease * Diabetes mellitus * Patients receiving corticosteroid therapy * Refusal of informed consent by parent or guardian
Where it's running
-
Dicle University
Diyarbakır, Eyalet/Yerleşke, Turkey (Türkiye) Recruiting -
Gazi Yaşargil Training and Research Hospital
Diyarbakır, Eyalet/Yerleşke, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Fikret Salık, associate professor
- Email: fikretsalik@gmail.com
- Phone: +905076214125
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Sacral erector spinae plane block versus caudal epidural block for pain after hypospadias repair in young boys
This trial will see if a sacral erector spinae plane block or a caudal epidural block gives better pain relief for boys aged 1–5 after hypospadias repair.
-
Sacral ESP Block vs Caudal Block for Pain Control in Pediatric Hypospadias Repair
In kids undergoing hypospadias surgery, this study tests whether a sacral erector spinae plane (ESP) block provides pain relief after surgery as well as or better than the traditional caudal block.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.