The Effect of Prostatic Regional Block Using Bupivacaine on the Unpleasant Sensation Caused by Urethral Catheter after Prostate Resection through Urethra

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IRANI DARIUSH; Islahi Ali; Jamshidi Fataneh; AKBARI ALI; Salari Mehrdad; PANAH ASHKAN; Zeighami Shahriar; EBRAHIMI BAHAREH; KARAMI ALI

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Journal: Armaghane Danesh Year:2021 | Volume:26 | Issue:3 (146) Page(s): 293-306

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Title

The Effect of Prostatic Regional Block Using Bupivacaine on the Unpleasant Sensation Caused by Urethral Catheter after Prostate Resection through Urethra

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Keywords

Transurethral Resection of the Prostate

TURP

Benign Prostatic Hyperplasia

Bupivacaine

Pain

Recovery

Localized Blockade

Abstract

Background & aim: Transurethral Resection of the Prostate (TURP) is) is a routine telescopic surgery for the treatment of Benign Prostatic Hyperplasia, which results in an unpleasant sensation due to the presence of a urinary catheter. Studies have shown that muscarinic receptor antagonists and opioids can reduce the incidence and severity of this unpleasant sensation. Therefore, the aim of the present study was to determine the effect of localized prostate blockade using Bupivacaine on the unpleasant sensation caused by a urethral catheter after prostate resection surgery. Methods: The present study was a double-blind randomized clinical trial research. The statistical population included 42 patients scheduled for TURP in the hospitals of Shiraz University of Medical Sciences. Patients were divided into two groups: one Bupivacaine treatment group (0. 5mg/kg) by trans-perinatal method in periprostatic space on both sides and two (control group). In this study, the degree of discomfort until Recovery was evaluated every half hour, the duration of Aldrete score to 9 and the degree of dissatisfaction caused by urethral catheter in patients undergoing prostate resection. The collected data were analyzed using statistical tests of Kolmogorov-Smirnov test, ttest, Mann-Whitney. Results: Both study groups were similar in terms of baseline characteristics. Urinary catheter dissatisfaction was assessed after surgery and a significant difference was seen between the two groups. The mean time of patients in the Recovery room in group two groups of control was significantly longer than group one (p≤ 0. 165) and these patients reached the Aldrete score of 9 in a longer period of time. The mean duration of patients in the control groups in the Recovery room was 118. 81± 56. 45 minutes and in the treatment group were 97. 14± 27. 90 minutes. No statistically significant difference was observed in morphine use between the two groups and no specific complication was observed in either groups. Conclusion: Consuming Bupivacaine for Localized Blockade of the prostate in patients undergoing prostate resection surgery can reduce the discomfort caused by the presence of a urinary catheter, the length of time in the Recovery ward and the level of dissatisfaction in Recovery ward patients.

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APA: Copy

IRANI, DARIUSH, Islahi, Ali, Jamshidi, Fataneh, AKBARI, ALI, Salari, Mehrdad, PANAH, ASHKAN, Zeighami, Shahriar, EBRAHIMI, BAHAREH, & KARAMI, ALI. (2021). The Effect of Prostatic Regional Block Using Bupivacaine on the Unpleasant Sensation Caused by Urethral Catheter after Prostate Resection through Urethra. ARMAGHAN DANESH, 26(3 (146) ), 293-306. SID. https://sid.ir/paper/964049/en

Vancouver: Copy

IRANI DARIUSH, Islahi Ali, Jamshidi Fataneh, AKBARI ALI, Salari Mehrdad, PANAH ASHKAN, Zeighami Shahriar, EBRAHIMI BAHAREH, KARAMI ALI. The Effect of Prostatic Regional Block Using Bupivacaine on the Unpleasant Sensation Caused by Urethral Catheter after Prostate Resection through Urethra. ARMAGHAN DANESH[Internet]. 2021;26(3 (146) ):293-306. Available from: https://sid.ir/paper/964049/en

IEEE: Copy

DARIUSH IRANI, Ali Islahi, Fataneh Jamshidi, ALI AKBARI, Mehrdad Salari, ASHKAN PANAH, Shahriar Zeighami, BAHAREH EBRAHIMI, and ALI KARAMI, “The Effect of Prostatic Regional Block Using Bupivacaine on the Unpleasant Sensation Caused by Urethral Catheter after Prostate Resection through Urethra,” ARMAGHAN DANESH, vol. 26, no. 3 (146) , pp. 293–306, 2021, [Online]. Available: https://sid.ir/paper/964049/en

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