You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy II1 Apr 2015PD40-06 EFFECT OF OPERATIVE LOCAL ANESTHESIA ON POSTOPERATIVE PAIN OUTCOMES OF INFLATABLE PENILE PROSTHESIS : PROSPECTIVE COMPARISON OF TWO MEDICATIONS Marilin Nicholson, Fernando Bianco, Angel Perez, and Edward Gheiler Marilin NicholsonMarilin Nicholson More articles by this author , Fernando BiancoFernando Bianco More articles by this author , Angel PerezAngel Perez More articles by this author , and Edward GheilerEdward Gheiler More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2440AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Contrast efficacy of dorsal penile nerve block (DPNB) in reducing postoperative pain following inflatable penile prosthesis (IPP) compared to patients without block and detect a difference between two injectable anesthetics. METHODS From 1/2013 to 6/2013, 131 patients were randomized prospectively into 3 groups. All IPP were first time, performed under general/spinal anesthesia with supplemental DPNB by high volume IPP surgeon with 24 hour observation. 40 patients were in Bupivacaine DPNB group, 47 in Ropivacaine DPNB group & 44 controls had no DPNB. Postoperative pain was quantitated by Visual analog scale (VAS). Oral/IV pain medication need was measured during hospitalization and every 24 h during first 7 days. RESULTS In first two hours VAS 2.13(CI 1.66-2.60) Bupivacaine group; 2.89(CI 2.44-3.24) Ropivacaine group and 6.55(CI 6.14-6.96) control group There was significant difference between medicated patients and control group (p<0.0001) but no significant difference between the two injectibles. 52.5% of Bupivacaine group were pain free at day 2 compared with 31.9% of Ropivacaine group and 38.6% control group. While most patients responded to oral pain pills, 42% of series required IV Morphine for relief. Mean Morphine IV usage was 0.85 for Bupivacaine group; 1.87 for Ropivacaine group and 1.67 in control group. The Bupivacaine group had less pain on second day and less need of Morphine (27.5%) but neither finding was significant. Virtually all patients required oral pain medication day 2-7. CONCLUSIONS DPNB during IPP with both anesthetics provides effective analgesia in the immediate post operative recovery period but does not impact longer term pain relief when compared to patients without penile block. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e837 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marilin Nicholson More articles by this author Fernando Bianco More articles by this author Angel Perez More articles by this author Edward Gheiler More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...