Effect of Anesthesia Techniques on Quality of Recovery Scores in HOLEP Surgery

TC Erciyes University

Status: Enrolling

Conditions: Anesthesia, General; Anesthesia; Combine Spinal and Epidural; HoLEP; Anesthesia,Spinal; QoR-40

Treatments: Procedure: Anesthesia method

Study type: Observational

Funder types: Other

Identifiers

NCT07020390

2025/195

Details and patient eligibility

About

The aim of this observational study is to evaluate the effects of different anesthesia techniques on the quality of recovery (QoR) and patient satisfaction in male patients, typically older adults with benign prostatic hyperplasia, undergoing Holmium Laser Enucleation of the Prostate (HoLEP).

Participants will undergo HoLEP surgery under one of three anesthesia techniques-general, spinal, or combined spinal-epidural anesthesia-and will complete the QoR-40 questionnaire both before and after the surgery.

Full description

These patients will be informed about the preoperative study and the Quality of Recovery 40 (QoR-40) scoring scale will be applied by the responsible researcher preoperatively and within 24 hours postoperatively, and the values will be recorded. The anesthesia method of the patients will be determined as determined routinely according to the patient's age, additional diseases, duration of surgery, and patient preference and will be applied by an experienced anesthesiologist. Routine intraoperative follow-ups of all patients will be performed. Surgeries completed without any complications will be taken to the recovery unit at the end of the procedure, and stable patients will be transferred to the ward. In patients whose ward follow-ups continue routinely, catheter-related bladder discomfort will be evaluated within 24 hours postoperatively, postoperative patient and surgeon satisfaction will be evaluated according to the 5-point Likert scale, and the QoR-40 score will be recorded. Postoperative pain levels and analgesic needs will be recorded. Parameters will be compared by dividing into groups according to the anesthesia method.

Enrollment: 450 estimated patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled for HOLEP surgery due to benign prostatic hyperplasia.
• Patients who consent to participate in the study.

Exclusion criteria

• Refusal to participate in the study
• Presence of cognitive impairment
• Use of psychoactive medications
• Failure of the intraoperative anesthesia technique and necessity to change the anesthesia method
• Requirement for reoperation or admission to the intensive care unit
• Voluntary withdrawal from the study

Trial design

450 participants in 1 patient group

Patients who undergoing HOLEP under different anesthesia methods

Treatment:

Procedure: Anesthesia method