Ultrasound Guided Pudendal Block in Transurethral Prostatectomies

Diskapi Teaching and Research Hospital

Status: Completed

Conditions: Pain, Postoperative

Treatments: Procedure: Pudendal nerve block

Study type: Interventional

Funder types: Other

Identifiers

NCT01501279

Diskapi2011

Details and patient eligibility

About

The pudendal nerve conveys sensory, motor, sympathetic fibres to the perineum, bladder neck and proximal urethra. Pain management during transurethral procedures is a major concern.Patients who have been catheterized under anesthesia complained of urgency in the postoperative period because of catheter-related bladder irritation. We want to investigate that the effect of pudendal block to postoperative pain, bladder spasm and patient comfort in transurethral prostatectomies

Full description

Outcome measures USG guided transperineal pudendal block success Postoperative pain score (VAS score) Postoperative bladder spasm (Severity of bladder discomfort will record as severe(behavioral responses such as strong vocal response, flailing limbs),moderate (not accompanied by any behavioral responses) and no bladder discomfort.

Postoperative patient's comfort (poor, sufficient, good)

Enrollment: 40 patients

Sex: Male

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I,II,III status
• Who were scheduled to have elective transurethral resection of the prostate

Exclusion criteria

• Chronic renal failure
• coagulopathy
• active anorectal disease
• active urinary tract infection
• uncontrolled diabetes

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

pudendal nerve block

Experimental group

Description:

USG guided pudendal nerve block performed under general anesthesia

Treatment:

Procedure: Pudendal nerve block

no nerve block

No Intervention group

Description:

Control group without nerve block