Trans-perineal Ultrasound Guided Pudendal Nerve Block and Post-Hemorrhoidectomy Voiding complications

UMIN ID: UMIN000054259

Registered date:25/04/2024

Basic Information

• Recruitment status: Recruiting
• Health condition(s) or Problem(s) studied: The study will include adult patients of both gender, suffering of hemorrhoids grade 3-4 and planned open hemorrhoidectomy (Milligan-Morgan hemorrhoidectomy) under general anesthesia.
• Date of first enrollment: 2024/04/10
• Target sample size: 68
• Countries of recruitment: Asia(except Japan)
• Study type: Interventional

Intervention(s)

While the patient is in lithotomy position, US guided pudendal nerve block will be eprformed using bupivecaine 0.25 % 5 ml on each side
perineal local anesthetic infiltration( lidocaine 1% 10 ml).

Outcome(s)

• Primary Outcome: the incidence of post-haemorhdectomy urinary retentin (primary outcome) measured in the irst 24 hours after surgery
• Secondary Outcome: Secondary variables will include; postoperative pain scores, postoperative voiding symptoms, postoperative analgesia consumption.

Key inclusion & exclusion criteria

• Age minimum: 18years-old
• Age maximum: 65years-old
• Gender: Male and Female
• Exclude criteria: Patients with known allergy to bupivacaine, redo surgery, preoperative voiding problems, prostatic hyperplasia, neurological disease affecting voiding control or patient ability to communicate will be excluded from the study.

Related Information

• Primary Sponsor: King Khalid University-Abha-Asir-KSA
• Source(s) of Monetary Support: self funded