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Related Experiment Videos

Office pediatric urologic procedures from a parental perspective.

C Smith1, D P Smith

  • 1East Tennessee Children's Hospital, Knoxville, USA.

Urology
|February 25, 2000
PubMed
Summary

Parents reported high satisfaction with office-based procedures like lysis of labial adhesions, meatotomy, and newborn circumcision using local anesthesia. Parent perception of discomfort (PPD) was higher when procedures were observed.

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Area of Science:

  • Pediatric Surgery
  • Pediatric Urology
  • Anesthesiology

Background:

  • Office-based procedures for pediatric conditions like labial adhesions, meatotomy, and newborn circumcision are increasingly common.
  • Local anesthesia is frequently used for these procedures, but parent perception of discomfort (PPD) and satisfaction require evaluation.

Purpose of the Study:

  • To assess parent perception of discomfort (PPD) in children undergoing local anesthesia for specific office procedures.
  • To evaluate parent-perceived outcomes and overall satisfaction with these procedures performed in an office setting.

Main Methods:

  • A confidential phone survey was administered to 99 parents whose children received local anesthesia for lysis of labial adhesions, meatotomy, or newborn circumcision.
  • Parents rated their child's PPD using a 3-point scale and reported on procedure success and satisfaction with the office-based approach.

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Main Results:

  • Mean PPD scores varied, with observed procedures (labial adhesions, meatotomy) showing significantly higher PPD than unobserved (circumcision).
  • 94.9% of parents reported good outcomes, though recurrences were noted. Overall satisfaction with office procedures and local anesthesia was high (96.0%).
  • A small percentage of parents expressed a preference for general anesthesia or were undecided.

Conclusions:

  • Parent perception of discomfort (PPD) is influenced by whether the parent observes the procedure.
  • Office-based procedures utilizing local anesthesia for lysis of labial adhesions, meatotomy, and newborn circumcision are well-accepted by parents.
  • These findings support the continued use of office-based procedures with local anesthesia for selected pediatric conditions.