Esen, Hayruenisa KahramanEsen, OsmanYildiz, TuranIlce, Zekeriya2024-05-192024-05-1920242667-663Xhttps://doi.org10.4328/ACAM.21453https://hdl.handle.net/20.500.12713/4831Aim: In this study, we aimed to evaluate the postoperative analgesic efficacy and side effects of bupivacaine and levobupivacaine for dorsal penile blockage in circumcised patients. Material and Methods: A total of 84 circumcised patients (age range: 7-11 years) were enrolled in this study. The patients were divided into two groups according to the dorsal penile block method: bupivacaine utilized Group B, levobupivacaine utilized Group L. Blocks were administered preoperatively with 1mL kg -1 of 0.25% bupivacaine and levobupivacaine. Postoperative pain scores and sedation were evaluated. Pain assessment was performed using the WongBaker faces Pain Scale (WBPS). The number of patients without pain within the first 6 hours, analgesia duration, time of first analgesia, and total paracetamol consumption were recorded. Results: Mean scores of WBPS were found statistically higher at the first, second and third hours in group B than in group L (p<0,05). The results showed no statistically significant differences between groups according to the WBAS assessment at 4, 5 and 6 hours, rates of rescue analgesic requirement and also rescue paracetamol dose between the groups. Discussion: Administration of levobupivacaine for dorsal penile blockage was found to be more efficient to provide postoperative analgesia and also to reduce postoperative analgesia utilization than bupivacaine in circumcised children under general anesthesia.eninfo:eu-repo/semantics/openAccessBupivacaineLevobupivacaineBlocksArticle1527680WOS:001157822900006N/A10.4328/ACAM.21453