Regional anesthesia

Ultrasound-guided versus neurostimulation-guided bilateral transperineal pudendal nerve block for analgesia in outpatient haemorrhoid surgery: protocol for a multicentre, randomised, double-blind, non-inferiority trial

BJA OpenPublished Randomised controlled trial protocol

Study context

Population
Patients undergoing outpatient haemorrhoid surgery202 planned
Planned comparison
Ultrasound-guided vs Nerve stimulator-guided
Primary endpoint
Maximum pain score (0-10 NRS) in the PACU
Methodological detailsmulticentre, prospective, double-blind, non-inferiority, Recruitment expected to begin September 2025, Planned sample: 202 patients to test non-inferiority (margin 0.7), Secondary outcomes: PACU and hospital LOS, QoR-15, pain and analgesic consumption during first 7 days, treatment-related adverse effects and safety
  • Multicentre
  • Prospective
  • Double-blind
  • Non-inferiority
  • Recruitment expected to begin September 2025
  • Planned sample: 202 patients to test non-inferiority (margin 0.7)
  • Secondary outcomes: PACU and hospital LOS, QoR-15, pain and analgesic consumption during first 7 days, treatment-related adverse effects and safety

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Ultrasound-guided versus neurostimulation-guided bilateral transperineal pudendal nerve block for analgesia in outpatient haemorrhoid surgery: protocol for a multicentre, randomised, double-blind, non-inferiority trial. BJA Open. Published 9 December 2025. doi:10.1016/j.bjao.2025.100512

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