Objective: To compare three methods of postoperative analgesia in children who underwent day surgery circumcision. Methods: One hundred and eighty‐five boys who were admitted for day surgery circumcision were randomly allocated to one of three groups. Group 1 received caudal block, group 2 received dorsal penile nerve block and group 3 received a combination of rectal diclofenac and intravenous fentanyl (RD/IVFENT). Oral paracetamol was given to relieve postoperative pain; its requirement and postoperative complications were recorded. Results: There were no significant differences found among the three groups regarding post‐circumcision paracetamol requirements in the first 2 h and day of operation, and duration of analgesia. There was no increased wound bleeding and vomiting seen for group 3. Conclusion: RD/IVFENT is a useful alternative to caudal block and dorsal penile nerve block for providing post‐circumcision pain relief. Also, it is easier to administer and appears safe.
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Mak et al. (2001) studied this question.