2024 PRILOCAINE IRRIGATION FOR PAIN RELIEF AFTER TRANSURETHRAL RESECTION OF THE PROSTATE (TUR-P)

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology II1 Apr 20122024 PRILOCAINE IRRIGATION FOR PAIN RELIEF AFTER TRANSURETHRAL RESECTION OF THE PROSTATE (TUR-P) Osman Köse, Hasan Saglam, Erkan Altun, Tugba Sonbahar, Sükrü Kumsar, and Öztug Adsan Osman KöseOsman Köse Sakarya, Turkey More articles by this author , Hasan SaglamHasan Saglam Sakarya, Turkey More articles by this author , Erkan AltunErkan Altun Sakarya, Turkey More articles by this author , Tugba SonbaharTugba Sonbahar Sakarya, Turkey More articles by this author , Sükrü KumsarSükrü Kumsar Sakarya, Turkey More articles by this author , and Öztug AdsanÖztug Adsan Sakarya, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2187AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In the present study, it was aimed to alleviate or completely prevent the occurrence of pain by adding local anesthetic substance into the irrigation solution used after TUR-P. We want to assess efficacy of postoperative prilocaine irrigation in relief of postoperative pain of the patients undergone TUR-P for BPH. METHODS To assess the analgesic efficacy of diluted prilocain bladder irrigation on visceral and somatic pain, 50 patients undergoing TUR-P were enrolled into this prospective, placebo-controlled, double-blind study. Fifty patients were enrolled in the study between ages 50-87. The patients were randomized into two groups. All operations were performed under spinal anesthesia (3 mL bupivacaine 5 mg/ mL (Marcaine Spinal plain) installed at the L2–L3 or L3–L4 interspaces). After operation when anesthesia disappeared and patients started feeling pain 30 cc of prilocain of 1% were injected into irrigation solutions of 0,9% serum physiologic and let the irrigation fluid flow in regular manner to clarify hematuria within the indwelling catheter. RESULTS There was no statistical difference between two groups in operative parameters. All the patients in the prilocain group satisfied with prilocain analgesic effect except for two patients (8%). These patients were administered additional analgesics to stop pain. Mean number of irrigation solutions was 7,04 ±1,02 for each patient and mean catheter withdrawal and postoperative hospital stay was 2,8±0,8 days. No prilocain induced adverse effect was seen. For patients of control group, all the patients, but two, were administered analgesics intravenously or intramuscularly when postoperative pain feeling started. Mean number of irrigation solutions was 7,16±1,18 and catheter withdrawal and hospital stay were 3,3±0,9 days. Mean VAS values were 0.35±0.12 in prilocain group and 5.10 ± 3.26 in control group (p<0.001). CONCLUSIONS Use of continuous bladder irrigation with diluted prilocain solution consistently reduced need for parenteral analgesics, both as rescue and total dose. Prilocain could be given in a proportion of 1/3000 concentration in irrigation solutions of serum physiologic, safely for relieving post operative pain in patients undergone TUR-P for BPH. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e816-e817 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Osman Köse Sakarya, Turkey More articles by this author Hasan Saglam Sakarya, Turkey More articles by this author Erkan Altun Sakarya, Turkey More articles by this author Tugba Sonbahar Sakarya, Turkey More articles by this author Sükrü Kumsar Sakarya, Turkey More articles by this author Öztug Adsan Sakarya, Turkey More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...