Efficacy of Sacral Erector Spinae Plane Block (SESPB) on Postoperative Pain and Catheter-related Bladder Discomfort

Giresun University

Status: Completed

Conditions: Pain, Postoperative

Treatments: Procedure: Pudendal Block; Procedure: Sacral ESP Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06127394

2023/07

Details and patient eligibility

About

The goal of this clinical trial is to evaluate the catheter related bladder discomfort in patients who will undergoing TUR-P operation. The main questions it aims to answer are:

• Is sacral ESPB effective on the pudendal nerve dermatome?

• Is sacral ESPB as useful as pudendal block on CRBD? Participants will be divided into two groups and the first group will receive sacral espb after TUR-p operation and the second group will receive pudendal block. Investigators will be present for 24 hours

  • catheter related bladder discomfort
  • post-operative pain,
  • additional analgesic needs will be questioned and the difference between the two groups will be evaluated.

Full description

This is a prospective,randomised,double-blind, single-centre,study aiming to compare the effectiveness of US guided bilateral sacral ESPB and US guided bilateral pudendal block on CRBD and pain after TUR-P. 54 patients will be included in the study and divided into two groups. All patients will be standardly monitored and will receive general anaesthesia. At the end of the cases, sacral ESPB will be applied to the first group and pudendal block to the second group, and the patients and the data questioner physician will be blinded to the study.

Primary and secondary outcomes will be questioned for 24 hours and statistics will be made according to the result.

Enrollment: 54 patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologist (ASA) Physical status 1-3

Exclusion criteria

• American Society of Anesthesiologist (ASA) Physical status 4-5
• Refused to participate in the study
• Known allergy to local anaesthetic
• Where regional anaesthesia is contraindicated
• With known neurological, haematological or muscular disease
• Patients with infection or anatomical changes in the lumbo-sacral region

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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54 participants in 2 patient groups

espb group

Experimental group

Description:

Block will be performed with median technique at the level of sacral 2nd vertebrae.

Treatment:

Procedure: Sacral ESP Block

pudendal group

Active Comparator group

Description:

Bilateral transperineal block will be performed

Treatment:

Procedure: Pudendal Block