Pain control methods after buccal graft urethroplasty

Peri-operative Oral Pain Control Following Buccal Graft Urethroplasty: Randomized Control Trial of Harvest Site Anesthetic

Phase 3 Interventional University of California, San Francisco · NCT05300685

This study is testing different ways to manage pain after surgery for men getting a buccal graft urethroplasty to see if a specific pain control method can help reduce discomfort without causing more problems.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment60 (estimated)
Ages18 Years and up
SexMale
SponsorUniversity of California, San Francisco Academic / other
Locations2 sites (San Francisco, California and 1 other locations)
Trial IDNCT05300685 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates different anesthetic protocols for managing oral pain in patients undergoing buccal urethroplasty. It is a blinded, randomized, controlled trial that will compare three established pain management techniques: standard buccal harvest, a basic buccal procedure with a long-acting local anesthetic, and a buccal block. Approximately 60 male subjects aged 18 and older will be enrolled and randomized into one of the three groups to assess the effectiveness of these pain control methods. The study aims to determine if the buccal block can reduce post-operative pain without increasing complications.

Who should consider this trial

Good fit: Ideal candidates for this study are men aged 18 or older who are scheduled to undergo anterior urethroplasty with buccal grafting.

Not a fit: Patients with chronic pain conditions, those on chronic opiates, or individuals with specific medical allergies or complications may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved pain management strategies for patients undergoing buccal urethroplasty, enhancing their recovery experience.

How similar studies have performed: While various anesthetic techniques have been explored in other contexts, this specific approach to regional pain management in buccal urethroplasty has not been previously tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Men, age 18 or older
* Undergoing anterior urethroplasty with buccal grafting
* Able to consent

Exclusion Criteria:

* Taking chronic opiates for pain
* Diagnosis of chronic pain
* Prior buccal urethroplasty
* Vulnerable population (e.g. prisoner)
* Renal dysfunction or allergy preventing NSAID use
* Liver dysfunction or allergy preventing Tylenol use
* Medical allergy to local anesthetic
* Medical allergy to Peridex/Magic Mouthwash
* NYHA Class III/IV
* Hematologic condition that excludes patient from surgery
* Post-operative complication resulting in inpatient stay
* Anesthetic complication
* No buccal site surgical complication

Where this trial is running

San Francisco, California and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Urethral Stricture, Malebuccal urethroplastyurethral strictureurethroplastybuccal blocklidocaine
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.