Comparing pain control using oral acetaminophen versus dorsal penile block in neonatal circumcision

Ogundoyin, Olakayode O.; Olulana, Dare I.; Lawal, Taiwo A.; Kumolalo, Felix O.

doi:10.1186/s43159-019-0002-z

Comparing pain control using oral acetaminophen versus dorsal penile block in neonatal circumcision

Authors

Abstract

Background
Circumcision is one of the commonest surgical procedures performed yet the most controversial worldwide. Although various reasons have been suggested in support of circumcision, the pain and stress that accompany it on both neonates and mothers are factors against the procedure. This study compared pain control using oral acetaminophen syrup versus 1% lidocaine injection given as dorsal penile block during neonatal circumcision.
Results
There were 191 neonates in group A and 195 in group B. The mean age at circumcision was 23.71 (SD ± 20.39) days, and mean weight was 3.33 (SD ± 0.74) kg. The mean pain scores for group A immediately and 1 h after circumcision were 4.26 (SD ± 2.48) and 0.37 (SD ± 1.35), respectively. In group B, the mean pain scores immediately and 1 h after circumcision were 3.31 (SD ± 2.59) and 0.35 (SD ± 1.19), respectively.
Conclusion
Penile block gives better pain control in comparison with oral acetaminophen syrup, but both agents are effective and can be combined to provide a long-lasting perioperative anaesthesia and analgesia for circumcision in the hospital setting.

Keywords