Pudendal nerve block approach for children undergoing urethroplasty

This case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioid...

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Main Authors: Annemarie Chrysantia Melati, Andi Ade Wijaya
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025000191
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author Annemarie Chrysantia Melati
Andi Ade Wijaya
author_facet Annemarie Chrysantia Melati
Andi Ade Wijaya
author_sort Annemarie Chrysantia Melati
collection DOAJ
description This case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioids required during the surgery, and hemodynamic stability was maintained. Postoperative pain was effectively managed with paracetamol, and the patient was discharged on the second postoperative day without any complications. This case highlight the use of pudendal nerve block as a safe and effective analgesic thecnique for pediatric urethroplasty.
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publisher Elsevier
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series Urology Case Reports
spelling doaj-art-57f032c29ed541a3aff9376592c0b6c22025-08-20T02:58:50ZengElsevierUrology Case Reports2214-44202025-03-015910294810.1016/j.eucr.2025.102948Pudendal nerve block approach for children undergoing urethroplastyAnnemarie Chrysantia Melati0Andi Ade Wijaya1Corresponding author.; Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaThis case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioids required during the surgery, and hemodynamic stability was maintained. Postoperative pain was effectively managed with paracetamol, and the patient was discharged on the second postoperative day without any complications. This case highlight the use of pudendal nerve block as a safe and effective analgesic thecnique for pediatric urethroplasty.http://www.sciencedirect.com/science/article/pii/S2214442025000191Pudendal nerve blockPediatric urologyUrethroplastyPerioperative analgesia
spellingShingle Annemarie Chrysantia Melati
Andi Ade Wijaya
Pudendal nerve block approach for children undergoing urethroplasty
Urology Case Reports
Pudendal nerve block
Pediatric urology
Urethroplasty
Perioperative analgesia
title Pudendal nerve block approach for children undergoing urethroplasty
title_full Pudendal nerve block approach for children undergoing urethroplasty
title_fullStr Pudendal nerve block approach for children undergoing urethroplasty
title_full_unstemmed Pudendal nerve block approach for children undergoing urethroplasty
title_short Pudendal nerve block approach for children undergoing urethroplasty
title_sort pudendal nerve block approach for children undergoing urethroplasty
topic Pudendal nerve block
Pediatric urology
Urethroplasty
Perioperative analgesia
url http://www.sciencedirect.com/science/article/pii/S2214442025000191
work_keys_str_mv AT annemariechrysantiamelati pudendalnerveblockapproachforchildrenundergoingurethroplasty
AT andiadewijaya pudendalnerveblockapproachforchildrenundergoingurethroplasty