From: Feasibility of partial penectomy under local anesthesia: a case–control study
Characteristic | Group A (local/penile nerve Block) N = 45 | Group B (spinal/epidural or general anesthesia) N = 45 | P-value (< 0.05: significant) | ||
---|---|---|---|---|---|
Additional analgesia required during the surgery | |||||
Local anesthesia top-up | 6 | 1 | 0.025 | ||
Conversion to general anesthesia | 0 | 0 | |||
Sedation | 0 | 1 | |||
Epidural top-up | 0 | 2 | |||
Intravenous analgesia Paracetamol | 2 | 2 | 0.078 | ||
Postoperative analgesics |
Group A (Case) | Group B (Control) | P-value | |||
---|---|---|---|---|---|
Number of patients (Case) (n = 45) | Mean Number of doses (Case) | Number of patients (Control) | Mean Number of doses (Control) | ||
Paracetamol 10 mg/kg TID/QID | 45 | 3.4 | 45 | 3.3 | 0.223 |
Diclofenac SOS | 10 | 1.3 | 7 | 1.1 | 0.314 |
Tramadol SOS | 3 | 1 | 3 | 1.3 | 0.367 |
Buprenorphine patch | 2 | 1 | 3 | 1 | 0.325 |
pT Stage (AJCC 8th ed) pT1a pT1b pT2 pT3 | 7 14 16 12 | 6 11 13 15 | |||
Mean postoperative hospital stay (hours) | 21.68 h | 22.6 h | 0.628 | ||
Mean Clavien-Dindo score Description (if any) | 1 (mainly pain) Two patients required removal of penile stump stitches on OPD basis, Clavien-Dindo score 1) | 1 Three patients required removal of sutures on OPD basis | |||
Positive margins | 0 | 0 |