Comparative study of the effect of indwelling bladder catheters after radical retropubic prostatectomy on postoperative pain

Doctoral Dissertation uoadl:2748529 163 Read counter

Unit:
Τομέας Χειρουργικής
Library of the School of Health Sciences
Deposit date:
2018-04-25
Year:
2018
Author:
Mouriki Marilena
Dissertation committee:
Δεληβελιώτης Χαράλαμπος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Παπατσώρης Αθανάσιος, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Χρυσοφός Ανδρέας, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Σκολαρίκος Ανδρέας, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βαρκαράκης Ιωάννης, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μητσογιάννης Ηρακλής, Επ. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δελλής Αθανάσιος, Επ. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Συγκριτική μελέτη της επίδρασης των ουροκαθετήρων ριζικής προστατεκτομής στο επίπεδο μετεγχειρητικού πόνου
Languages:
Greek
Translated title:
Comparative study of the effect of indwelling bladder catheters after radical retropubic prostatectomy on postoperative pain
Summary:
Background
Prostate cancer is the most common malignancy in men. In the case of localized prostate cancer, the treatment of choice is radical prostatectomy. Radical prostatectomy creates post-operative pain which is characterized as acute nociceptive resulting from the surgical field and catheter-related bladder discomfort (CRBD) resulting from the indwelling urinary catheter.
Aim
The purpose of the study was the comparison of the effect of two different types of indwelling bladder catheters on postoperative pain after radical retropubic prostatectomy.
Materials
The study included 120 men with localized prostate cancer who underwent radical retropubic prostatectomy and were randomized into two groups of 60 each. In the first group patients were catheterized with a couvelaire urinary catheter made of polyvinylchloride (couvelaire group) and in the second group patients were catheterized with a silicone catheter (silicone group). Urinary catheterization was performed with a 20Fr catheter and the balloon was inflated with 20ml.
Method
All patients received morphine, paracetamol , wound infiltration with ropivacaine and lornoxicam for the treatment of postoperative pain. The grade of postoperative pain was assessed with the numeric rating scale for clinical pain measurement , and the
catheter related bladder discomfort was assessed as null, mild, moderate and severe at the 1st, 2nd, 6th, 24th hour, 3rd and 5th day postoperatively.
Results
The postoperative pain because of tissue damage was lower in the silicone group than that of the couvelaire group at 6th, 24th hour and 3rd, 5th day postoperatively. (P<0.05). The catheter related bladder discomfort was significantly lower in the silicone group than that of the couvelaire group (P<0.001).
Conclusions
The use of urinary catheter made of pure silicone reduced postoperative pain in patients undergoing radical retropubic prostatectomy compared to the use of the couvelaire catheter made of polyvinylchloride.
Main subject category:
Health Sciences
Keywords:
Postoperative pain, Bladder catheters, Polyvinylchloride PVC,
Silicone, Prostatectomy
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
210
Number of pages:
131

Mouriki Marilena PHD.pdf
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