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Spermatic‐cord block improves analgesia for day‐case testicular surgery
Author(s) -
BURDEN R.J.,
O’KELLY S.W.,
SUTTON D.,
CUMMING J.
Publication year - 1997
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1997.00305.x
Subject(s) - medicine , spermatic cord , anesthesia , analgesic , cord , bupivacaine , surgery , fentanyl , regimen
Objective To assess whether the use of a spermatic‐cord block contributes any additional analgesia to that of a conventional analgesic regimen in day‐case testicular surgery. Patients and methods In a randomized, double‐blind controlled study, 48 patients undergoing day‐case testicular surgery received general anaesthesia together with fentanyl and diclofenac for analgesia. In addition, 22 of these patients received 10 mL of 0.5% plain bupivacaine into the spermatic cord at the conclusion of surgery. Visual‐analogue pain scores were recorded for each group over the following 24 h. Results The visual‐analogue pain scores were significantly lower in the immediate recovery period in patients receiving the spermatic‐cord block. Conclusion The spermatic‐cord block reduced discomfort in the immediate post‐operative period in patients undergoing testicular surgery and the procedure should be encouraged to improve the quality of post‐operative pain management in such procedures.