Case Report (n=1)
No
Ultrasound-guided caudal epidural block with 0.5% bupivacaine can cause transient bladder incontinence and perineal sensory loss, which may resolve completely with conservative medical management.
Transient neurological effects warrant monitoring after caudal blocks; this single case leaves open incidence, risk factors, and need for prospective data.
Caudal anesthesia is commonly used a regional anesthesia technique for sub-umbilical surgeries in pediatrics and for chronic pain management in adults. Ultrasound guided caudal epidural block improves the success rate with minimizes complications. We report a patient who underwent lateral sphincterotomy under ultrasound guided caudal epidural anesthesia and developed transient urinary incontinence with prolonged perineal sensory loss postoperatively. Key words: Anesthesia, Caudal epidural, Ultrasound. Citation: Preethipriyadharshini R, Vadhanan CP, Bokka N. Transient bladder incontinence following ultrasound guided caudal epidural block. Anaesth. pain intensive care 2021;25(1):102–104; DOI: 10.35975/apic.v25i1.1437 Received: 17 October 2020; Reviewed: 4 November 2020; Accepted: 5 December 2020
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Rajasekaran et al. (2021) conducted a case report in Elective lateral sphincterotomy (n=1). Ultrasound guided caudal epidural block was evaluated on Development of transient bladder incontinence and perineal sensory loss.
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