Sacral ESP Block vs Caudal Block for Pain Control in Pediatric Hypospadias Repair
Official title: Prospective Comparison of Sacral Erector Spinae Plane Block and Caudal Epidural Block for Postoperative Analgesia in Pediatric Hypospadias Surgery
Run by TC Erciyes University · NCT07619651 · Data updated 2026-11-12
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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 6 Months to 7 Years |
| Sex | Men only |
| Enrollment | 60 (estimated) |
| Sponsor | TC Erciyes University Academic / other |
| Locations | 1 site (Kayseri) |
| Status | Recruiting |
| Started | January 5, 2026 |
| Main results expected | September 1, 2026 |
| Study ends | November 1, 2026 |
| Registry record updated | June 25, 2026 |
| Trial ID | NCT07619651 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Male pediatric patients aged 6 months to 7 years undergoing hypospadias repair, ASA I–II, with no allergies to local anesthetics or contraindications to nerve blocks, and whose guardians consent.
✕Probably not a fit
Patients with contraindications to regional anesthesia, significant comorbidities, or who do not experience adequate pain control with either technique may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, comparative study evaluates two regional anesthesia techniques for postoperative analgesia in pediatric hypospadias repair. Participants are assigned to receive either a sacral ESP block or a caudal epidural block. The primary outcome is pain scores in the first 24 hours after surgery, with secondary outcomes including total analgesic use, time to first rescue analgesia, and any block-related complications. The study aims to determine if the sacral ESP block offers effective pain control with comparable or improved safety relative to the caudal block. Eligible children are 6 months to 7 years old, ASA I–II, without contraindications to regional blocks, and with parental consent.
Why it matters
Potential benefit: If successful, the sacral ESP block could provide effective postoperative pain relief with a favorable safety profile, potentially reducing analgesic requirements.
How similar studies have gone: Prior regional techniques like caudal blocks are well-established; sacral ESP block is newer, with limited pediatric evidence but some positive signals in similar surgeries.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male patients aged between 6 months to 7 years 2. Scheduled for hypospadias repair surgery 3. ASA physical status I-II 4. No known allergy to local anesthetic agents 5. No contraindications to peripheral nerve blocks 6. Written informed consent obtained from parents or legal guardians Exclusion Criteria: 1. Known congenital coagulopathy 2. Known allergy to local anesthetic agents 3. Severe systemic disease (ASA III-IV) 4. Severe organ failure 5. Neurological disorders
Where it's running
-
Erciyes University Faculty of Medicine Hospital
Kayseri, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Özlem Öz Gergi̇n — Erciyes University Faculty of Medicine
- Study coordinator: Özlem Öz Gergi̇n, Md
- Email: oozgergin@erciyes.edu.tr
- Phone: 0905332466396
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
PECS II vs SPSIP nerve blocks for pain after mastectomy
This study tests whether two ultrasound-guided nerve blocks (PECS II and SPSIP) differ in how much opioid patients need after mastectomy.
-
Palatal Shield Technique to Reduce Pain and Improve Healing After Free Gingival Graft
This randomized trial tests whether a collagen sponge with a protective palatal shield made of flowable resin helps reduce pain and improve healing after free gingival graft harvest.
-
Perfusion Index to Measure Postoperative Pain in Kids After Adenotonsillectomy
This study tests whether the perfusion index can reliably reflect pain levels in children aged 1–12 after adenotonsillectomy, comparing standard care with an added glossopharyngeal nerve block.
-
Anterior Knee Nerves Block vs Femoral Nerve Block for Knee Arthroscopy
This trial tests whether an anterior nerves of the knee (ANK) block provides similar pain relief to a femoral nerve block after knee arthroscopy in adults, aiming to reduce quadriceps weakness.
-
Natural Biopolymer-Based Irrigant for Root Canal Cleaning
This trial tests a chitosan nanoparticle irrigant to improve cleaning and disinfection in single-rooted teeth with asymptomatic pulp necrosis undergoing endodontic treatment.
-
Postoperative Pain Trajectories After Endometriosis Surgery
This study tests how pain changes after endometriosis surgery and whether perioperative pain testing can predict who will have ongoing pain.
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.