This study aimed to assess the association between caudal block and postoperative complications after tubularised incised plate urethroplasty. The medical records of 388 paediatric patients who underwent urethroplasty at a tertiary medical centre were analysed retrospectively. Among the 342 patients included, 216 patients received a caudal block and 72 (21.1%) patients suffered surgical complications. The number of patients having surgical complications was significantly greater among patients who received a caudal block than among patients who did not receive a caudal block (53 (24.5%) versus 19 (15.1%), respectively, p = 0.04). Based on multivariate logistic regression analysis, duration of surgery, caudal block and hypospadias types were independent risk factors for the surgical complications. Patients with caudal block had an odds ratio of 2.1 (95% CI, 1.14-3.81, p = 0.018) for the development of postoperative complications compared with patients without caudal block. This analysis demonstrates that caudal block is associated with surgical complications after tubularised incised plate urethroplasty.
Bibliographical noteFunding Information:
We thank the Biostatistics Collabaration Unit and the Electronic Medical Record Team at Severance Hospital, Yonsei University College of Medicine for their contribution to this study. This research was supported by a Basic Science Research Program to JHL through the National Research Foundation of Korea, funded by the Ministry of Science, ICT & Future Planning (NRF-2014R1A1A1002001). No competing interests declared.
© 2016 The Association of Anaesthetists of Great Britain and Ireland
All Science Journal Classification (ASJC) codes
- Anesthesiology and Pain Medicine