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Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 7 Issue: 3

Does dorsal penile block reduce the FLACC score in cases who underwent circumcision under ketamine–propofol sedation in children?

Vildan Kölükçü(Tokat Gaziosmanpaşa Üniversitesi)0000-0002-3914-3899
Yunus Emre Kuyucu(TOKAT GAZIOSMANPASA UNIVERSITY)0000-0001-8808-1287
Kenan Yalçın(TOKAT GAZIOSMANPASA UNIVERSITY)0000-0003-3560-5862
Hüseyin Biçer(Kayseri Şehir Hastanesi)0000-0001-7703-3618
Pages
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Publication Date
2026-06-25
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our findings demonstrate that the use of dorsal penile nerve block during circumcision under ketamine-propofol sedation significantly reduces FLACC score and analgesic requirements.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: This study aimed to evaluate the effect of dorsal penile block on postoperative Face, Legs, Activity, Cry and Consolability (FLACC) score in children undergoing circumcision under ketamine–propofol sedation.
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Key Findings & Data:Methods: The data of 115 children aged 7-9 years who underwent circumcision under ketamine-propofol sedation were retrospectively analyzed.
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Conclusion & Impact:Conclusion: Our findings demonstrate that the use of dorsal penile nerve block during circumcision under ketamine-propofol sedation significantly reduces FLACC score and analgesic requirements.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Circumcision · ketamine · propofol

Abstract

Aims: This study aimed to evaluate the effect of dorsal penile block on postoperative Face, Legs, Activity, Cry and Consolability (FLACC) score in children undergoing circumcision under ketamine–propofol sedation. Methods: The data of 115 children aged 7-9 years who underwent circumcision under ketamine-propofol sedation were retrospectively analyzed. Patients were categorized into two groups: those who received a dorsal penile block (group 2) and those who did not (group 1). Demographic characteristics, FLACC score, analgesic requirements, operation duration, recovery unit time, intraoperative mean heart rate, oxygen saturation measurements, and time to first micturition were analyzed in both groups. Results: The mean age of the children was 7.77±0.78 years, and no significant difference in age distribution was observed between the groups (p>0.05). Similarly, operation duration, intraoperative heart rate, oxygen saturation measurements, and recovery unit time were comparable between the groups (p>0.05). In group 1, 17 patients (28.3%) had analgesic requirements, and the mean FLACC score was 4.02±1.90. Analgesic requirements and FLACC scores were significantly higher in group 1 compared with group 2 (p=0.017 and p 0.05). Conclusion: Our findings demonstrate that the use of dorsal penile nerve block during circumcision under ketamine-propofol sedation significantly reduces FLACC score and analgesic requirements.

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Cite This Article

Kölükçü, V., Kuyucu, Y. E., Yalçın, K., Biçer, H. (2026). Does dorsal penile block reduce the FLACC score in cases who underwent circumcision under ketamine–propofol sedation in children?. Journal of Medicine and Palliative Care, Volume: 7 Issue: 3. https://doi.org/10.47582/jompac.1935367

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