Sixty-one children were randomized to receive one of three methods of
analgesia for day case circumcision. Group 1 received a penile block,
group 2 received a penile block plus diclofenac suppository and group
3 received a diclofenac suppository alone. CHEOPS pain scoring was per
formed in the recovery area, one h after awakening and two h after awa
kening. There was no difference between the groups except in the recov
ery area when group 3 cried more and had a higher pain score than grou
p 2. Parental follow-up questionnaires for the subsequent two days sho
wed no difference in measured parameters between the groups.