Clinical trial Recruiting at 1 site Interventional Ages 6 Months to 7 Men only

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.

More Postoperative Pain trials

Quick facts

Study typeInterventional
Ages6 Months to 7 Years
SexMen only
Enrollment60 (estimated)
SponsorTC Erciyes University
Academic / other
Locations1 site (Kayseri)
StatusRecruiting
StartedJanuary 5, 2026
Main results expectedSeptember 1, 2026
Study endsNovember 1, 2026
Registry record updatedJune 25, 2026
Trial IDNCT07619651 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.