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• W2112155119 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Jan 1998BUPIVACAINE INFILTRATION INTO THE NEUROVASCULAR BUNDLE OF THE PROSTATIC NERVE DOES NOT IMPROVE POSTOPERATIVE PAIN OR RECOVERY FOLLOWING TRANSVESICAL PROSTATECTOMY Brian Fredman, Edna Zohar, Toufic Ganim, Moshe Shalev, and Robert Jedeikin Brian FredmanBrian Fredman More articles by this author , Edna ZoharEdna Zohar More articles by this author , Toufic GanimToufic Ganim More articles by this author , Moshe ShalevMoshe Shalev More articles by this author , and Robert JedeikinRobert Jedeikin More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64040-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the effect of intraoperative bupivacaine infiltration into the neurovascular bundle of the prostatic nerve on postoperative pain and patient outcome. Materials and Methods: The study included 40 American Society of Anesthesiologists physical status I to III patients undergoing transvesical prostatectomy. Following surgical resection of the prostate the neurovascular bundle of the prostatic nerve was infiltrated with either 10 ml. bupivacaine 0.5% or saline. Postoperative pain intensity was assessed using a patient generated 100 mm. visual analog scale and a patient controlled analgesia device. Additional analgesic requirements, time to ambulation, length of hospitalization and return to normal activity were also recorded. Results: There were no differences in visual analog scale for pain, patient controlled analgesia demands or actual morphine delivered. Similarly, saline versus bupivacaine infiltration did not influence ambulation time (21.3 +/− 2.7 versus 25.0 +/− 11.8 hours, respectively), length of hospitalization (7.06 +/− 0.8 versus 7.11 +/− 0.6 days, respectively), return to normal activity (14.4 +/− 8.8 versus 14.2 +/− 8.2 days, respectively) or patient satisfaction. On postoperative days 1 and 2 more patients in the saline treatment group requested additional oral analgesia compared to the bupivacaine treatment group. However, no statistical difference was demonstrated. Conclusions: Following transvesical prostatectomy, prostatic nerve blockade has no beneficial effects on postoperative pain or patient outcome. References 1 : Postoperative nausea and vomiting. Its etiology, treatment and prevention.. Anesthesiology1992; 77: 162. Google Scholar 2 : Anaesthetic factors contributing to postoperative nausea and vomiting.. Brit. J. Anaesth.1992; 69: 40S. Google Scholar 3 : The value of “multimodal” or “balanced analgesia” in postoperative pain treatment.. Anesth. Analg.1993; 77: 1048. Google Scholar 4 : Prevention of postoperative pain by balanced analgesia.. Brit. J. Anaesth.1990; 64: 518. Google Scholar 5 : NSAIDs and balanced analgesia.. Canad. J. Anaesth.1993; 40: 401. Google Scholar 6 : Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy.. Anesth. Analg.1996; 82: 44. Google Scholar 7 : Transrectal ultrasound guided prostatic nerve blockade eases systematic needle biopsy of the prostate.. J. Urol.1996; 155: 607. Abstract, Google Scholar 8 : New technique to anesthetize the prostate for transurethral balloon dilation.. Urol. Clin. N. Amer.1990; 17: 55. Google Scholar 9 : Recent advances in the pathophysiology of acute pain.. Brit. J. Anaesth.1989; 63: 139. Google Scholar 10 : Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization.. Anesth. Analg.1993; 77: 362. Google Scholar 11 : The prevention of postoperative pain.. Pain1988; 33: 289. Google Scholar 12 : Study design in clinical research: sample size estimation and power analysis.. Canad. J. Anaesth.1996; 43: 184. Google Scholar From the Departments of Anesthesiology and Critical Care, and Urology, Meir Hospital, Kfar Sava and Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelAccepted for publication May 23, 1997© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byVeerman H, Houwink A, Schutte P, Nieuwenhuijzen J, Roeleveld T, Wit E, Mazel J, van der Sluis T, Vis A, van Leeuwen P and van der Poel H (2021) Intraoperative Strategies to Reduce Catheter-Related Bladder Discomfort in the Early Postoperative Period after Robot-Assisted Radical ProstatectomyJournal of Urology, VOL. 205, NO. 6, (1671-1680), Online publication date: 1-Jun-2021. Volume 159Issue 1January 1998Page: 154-157 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information Brian Fredman More articles by this author Edna Zohar More articles by this author Toufic Ganim More articles by this author Moshe Shalev More articles by this author Robert Jedeikin More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2112155119 title "BUPIVACAINE INFILTRATION INTO THE NEUROVASCULAR BUNDLE OF THE PROSTATIC NERVE DOES NOT IMPROVE POSTOPERATIVE PAIN OR RECOVERY FOLLOWING TRANSVESICAL PROSTATECTOMY" @default.
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