Clinical evaluation of Compound Chamomile and Lidocaine Hydrochloride Gel for postoperative hypospadias in children.

Shi-yu Zhang; Ce Han; Hui-xia Zhou; Pin LI; Li-fei MA; Tian Tao; Xiao-guang Zhou; Yuan-dong Tao; Wei-wei Zhu; Yang Zhao; Tao Guo; Ran Zhuo; Xue-xue L

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Clinical evaluation of Compound Chamomile and Lidocaine Hydrochloride Gel for postoperative hypospadias in children.

Author: Shi-Yu ZHANG ¹ ; Ce HAN ¹ ; Hui-Xia ZHOU ¹ ; Pin LI ¹ ; Li-Fei MA ¹ ; Tian TAO ¹ ; Xiao-Guang ZHOU ¹ ; Yuan-Dong TAO ¹ ; Wei-Wei ZHU ¹ ; Yang ZHAO ¹ ; Tao GUO ¹ ; Ran ZHUO ¹ ; Xue-Xue L ¹
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1. Faculty of Pediatrics, Chinese PLA General Hospital, Beijing 100700, China.
Publication Type:Journal Article
Keywords: hypospadias; pain; postoperative; chamomile and lidocaine hydrochloride
MeSH: Chamomile; Child, Preschool; Humans; Hypospadias/surgery*; Lidocaine/therapeutic use*; Male; Pain, Postoperative/drug therapy*; Postoperative Period
From: National Journal of Andrology 2021;27(9):815-818
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the clinical efficacy of Compound Chamomile and Lidocaine Hydrochloride Gel for postoperative hypospadias in children.
METHODS:From January to December 2020, we treated 116 children with distal hypospadias in the Department of Urology, Department of Pediatrics and the Seventh Medical Center of the PLA General Hospital, 58 by primary Snodgrass urethroplasty only (the control group) and the other 58 with Compound Chamomile and Lidocaine Hydrochloride Gel smeared on the penis postoperatively in addition (the trial group). We compared the operation time and postoperative pain score, edema regression and incidence of infection between the two groups, followed by statistical analysis using T test and Chi-square test.
RESULTS:All the operations were successfully completed by the same surgeon under general anesthesia. There were no statistically significant differences between the trial and control groups in age (［2.5 ± 0.8］ vs ［2.4 ± 0.6］ yr, P > 0.05) or operation time (［95.6 ± 14.5］ vs ［97.1 ± 15.2］ min, P > 0.05). No incision infection occurred in any of the cases. The pain scores at dressing removal were remarkably lower in the trial than in the control group at 2 hours (1.4 ± 1.0 vs 2.6 ± 1.3, P < 0.05), 24 hours (2.2 ± 1.3 vs 3.9 ± 1.6, P < 0.05), 48 hours (1.2 ± 0.7 vs 1.6 ± 0.9, P < 0.05) and 72 hours after surgery (2.5 ± 0.8 vs 3.7 ± 1.8, P < 0.05). Significantly more cases of edema regression were achieved in the trial than in the control group at 2 weeks postoperatively (35 vs 19, P < 0.05).
CONCLUSIONS:Compound Chamomile and Lidocaine Hydrochloride Gel can effectively relieve pain, reduce edema and accelerate edema regression after surgery in children with hypospadias, and therefore deserves wide clinical application.、.