Prilocaine irrigation for pain relief after transurethral resection of the prostate.

Abstract:

PURPOSE:This study aimed to examine the effect of postoperative addition of a local anesthetic agent to irrigation fluid on the alleviation or prevention of pain after transurethral resection of the prostate (TURP). PATIENTS AND METHODS:This prospective, double blind, placebo-controlled study included 50 patients aged 50 to 87 years. The patients were randomized into two groups. As each patient began to experience postoperative pain after spinal anesthesia wore off, 30 mL of 2% prilocaine was injected into the irrigation solution bags, and the bladder was irrigated (prilocaine group). The irrigation solution used in the control group was prilocaine-free. Visual analog scale (VAS) scoring was used to assess the severity of pain. Bladder irrigation in all patients was discontinued 1 day postsurgery. RESULTS:There was not a statistical difference in surgical parameters between the two groups. All patients in the prilocaine group were satisfied with the analgesic efficacy of prilocaine, except for two (8%). The mean number of irrigation solution bags (3000 mL) used for each patient in the prilocaine group was 7.04 ± 1.2. Prilocaine-related side effects were not observed. Conversely, pain developed in all but two patients in the control group. The mean number of irrigation solution bags used for each patient in the control group was 7.6 ± 1.8. Mean VAS pain score was 0.35 ± 0.12 and 5.10 ± 3.26 in the prilocaine and control groups, respectively (P<0.001). CONCLUSION:Prilocaine solution safely alleviated postoperative pain in the patients who underwent TURP. The use of continuous bladder irrigation with a diluted prilocaine solution consistently decreased the need for parenteral analgesics.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Köse O,Sağlam HS,Altun ME,Sonbahar T,Kumsar Ş,Adsan Ö

doi

10.1089/end.2013.0001

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

892-5

issue

7

eissn

0892-7790

issn

1557-900X

journal_volume

27

pub_type

杂志文章,随机对照试验
  • A bioabsorbable self-expandable, self-reinforced poly-L-lactic acid urethral stent for recurrent urethral strictures: long-term results.

    abstract:BACKGROUND AND PURPOSE:Biodegradable urethral stents have been used clinically for some years mainly in order to prevent postoperative urinary retention after minimally invasive thermotreatment of benign prostatic hyperplasia. We previously reported a 15-month-follow-up pilot study of a bioabsorbable self-expandable, s...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/08927790260472926

    authors: Isotalo T,Talja M,Välimaa T,Törmälä P,Tammela TL

    更新日期:2002-12-01 00:00:00

  • Robot-assisted sacrocolpopexy: description and video.

    abstract::Pelvic organ prolapse is a common problem faced by many women, resulting in significant morbidity and negatively impacting quality of life. Sacrocolpopexy can treat women with vaginal vault prolapse, multicompartment prolapse, and/or a history of failed prolapse procedures. The transabdominal sacrocolpopexy has been s...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0388

    authors: Mitchell CR,Gettman M,Chow GK,Elliott D

    更新日期:2012-12-01 00:00:00

  • Direct percutaneous embolization of renal pseudoaneurysm.

    abstract:PURPOSE:To describe and evaluate a novel method of direct ultrasonography (US)-guided percutaneous embolization of renal pseudoaneurysm. PATIENTS AND METHODS:Fourteen patients with severe hematuria were included in this study from February 2005 to February 2006. They included five patients with penetrating renal traum...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2008.0559

    authors: Sakr MA,Desouki SE,Hegab SE

    更新日期:2009-06-01 00:00:00

  • A comparison of the physical properties of four new generation flexible ureteroscopes: (de)flection, flow properties, torsion stiffness, and optical characteristics.

    abstract:BACKGROUND AND PURPOSE:Several kinds of flexible ureteroscopes are in use for the removal of kidney stones. This study evaluated and compared the characteristics of four new-generation flexible ureteroscopes. MATERIALS AND METHODS:The flexible ureteroscopes studied were: the ACMI Dur-8 Elite, the Storz Flex-X2 the Oly...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0371

    authors: Paffen ML,Keizer JG,de Winter GV,Arends AJ,Hendrikx AJ

    更新日期:2008-10-01 00:00:00

  • Laparoscopic urology training in South Africa.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic urologic surgery is not widely practiced in South Africa. After presenting a laparoscopic training course, we evaluated how effectively this training translated into clinical practice. SUBJECTS AND METHODS:Invitations to the course were sent to all South African urologists. Ten appl...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.1180

    authors: Naude AM,Heyns CF,Matin SF

    更新日期:2005-12-01 00:00:00

  • Extra-anatomic urinary diversion.

    abstract::In five patients with chronic intractable ureteral obstruction, a fine-bore nephrostomy tube was placed in a subcutaneous tunnel to drain the kidney without an external appliance. Good quality of life was achieved for 6 months to 2 years. When conventional intraluminal stents cannot be used, consideration should be gi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.411

    authors: Paterson PJ,Forrester A

    更新日期:1997-12-01 00:00:00

  • Independent predictors of failure of shockwave lithotripsy for ureteral stones employing a second-generation lithotripter.

    abstract:PURPOSE:To define factors associated with the failure of shockwave lithotripsy (SWL) in the treatment of ureteral stones. PATIENTS AND METHODS:We retrospectively studied 405 men and 283 women (mean age 52.6 years) who underwent SWL with a second-generation lithotripter in the period 1994 to 2001. We evaluated availabl...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903765444302

    authors: Delakas D,Karyotis I,Daskalopoulos G,Lianos E,Mavromanolakis E

    更新日期:2003-05-01 00:00:00

  • A Critical Analysis of the Learning Curve and Postlearning Curve Outcomes of Two Experience- and Volume-Matched Surgeons for Laparoscopic and Robot-Assisted Radical Prostatectomy.

    abstract:BACKGROUND AND PURPOSE:There remains equipoise with regard to whether laparoscopic radical prostatectomy (LRP) or robot-assisted radical prostatectomy (RARP) has any benefit over the other. Despite this, there is a trend for the increasing adoption of RARP at great cost to health services across the world. The aim was ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0810

    authors: Good DW,Stewart GD,Laird A,Stolzenburg JU,Cahill D,McNeill SA

    更新日期:2015-08-01 00:00:00

  • Success of laser endoureterotomy of ureteral strictures associated with ureteral stones is related to stone impaction.

    abstract:PURPOSE:Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy in this specific setting have not been defined. We report our expe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0387

    authors: Gdor Y,Gabr AH,Faerber GJ,Roberts WW,Wolf JS Jr

    更新日期:2008-11-01 00:00:00

  • Prevalence of nephrolithiasis in human immunodeficiency virus infected patients on the highly active antiretroviral therapy.

    abstract:BACKGROUND AND PURPOSE:Protease inhibitors, specifically indinavir, have historically been implicated as a cause of nephrolithiasis in the human immunodeficiency virus (HIV) infected patients. There is a paucity of data, however, on stone disease with nonindinavir etiologies since the introduction of highly active anti...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0639

    authors: Raheem OA,Mirheydar HS,Palazzi K,Chenoweth M,Lakin C,Sur RL

    更新日期:2012-08-01 00:00:00

  • Percutaneous nephrolithotomy requiring multiple tracts: comparison of morbidity with single-tract procedures.

    abstract:PURPOSE:To compare the morbidity of percutaneous nephrolithotomy (PCNL) requiring multiple percutaneous tracts with that of procedures requiring a single tract for calculus clearance. PATIENTS AND METHODS:Data from 20 patients undergoing PCNL through two or more percutaneous renal tracts over a 1-year period were comp...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.753

    authors: Hegarty NJ,Desai MM

    更新日期:2006-10-01 00:00:00

  • Acute and chronic interstitial cryotherapy of the adrenal gland as a treatment modality.

    abstract:BACKGROUND AND OBJECTIVES:Adrenalectomy is indicated for patients with large adrenal lesions or functional tumors. Cryoablation is currently used as a surgical alternative for the treatment of prostate, lung, brain, pharynx, and liver tumors. The purpose of this study was to determine if cryosurgery could be delivered ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1999.13.299

    authors: Schulsinger DA,Sosa RE,Perlmutter AA,Vaughan ED Jr

    更新日期:1999-05-01 00:00:00

  • Learning Curve for the Tension-Free Vaginal Tape-Obturator Procedure for Female Stress Urinary Incontinence: A Prospective Single-Surgeon Study.

    abstract:: Objective: To evaluate the learning curve in an untrained resident surgeon for the initial case series of tension-free vaginal tape-obturator (TVT-O) to treat stress urinary incontinence. Materials and Methods: A retrospective ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0571

    authors: Song R,He X,Chang Y,Zhu F,Zhang W,Cheng X,Song Q,Hao Y,Huang M,Huang G,Li H

    更新日期:2020-02-01 00:00:00

  • Increase in intracranial pressure during carbon dioxide pneumoperitoneum with steep trendelenburg positioning proven by ultrasonographic measurement of optic nerve sheath diameter.

    abstract:PURPOSE:The purpose of this study was to assess the extent of the increased intracranial pressure (ICP) resulting from CO2 pneumoperitoneum and steep Trendelenburg positioning using ultrasonographic measurement of optic nerve sheath diameter (ONSD) in patients undergoing robot-assisted laparoscopic radical prostatectom...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0019

    authors: Kim MS,Bai SJ,Lee JR,Choi YD,Kim YJ,Choi SH

    更新日期:2014-07-01 00:00:00

  • A novel use of near-infrared fluorescence imaging during robotic surgery without contrast agents.

    abstract::We describe a novel use of near-infrared fluorescence (NIRF) imaging without contrast agents, like indocyanine green, to identify otherwise obscured intraluminal areas of interest during robot-assisted laparoscopic (RAL) surgery marked by the white light (WL) of endoscopic instruments. By filtering light wavelengths b...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0606

    authors: Hockenberry MS,Smith ZL,Mucksavage P

    更新日期:2014-05-01 00:00:00

  • The Mayo Adhesive Probability Score Predicts Longer Dissection Time During Laparoscopic Partial Nephrectomy.

    abstract:: Background: To examine the impact of the Mayo adhesive probability (MAP) score on the surgical complexity of exposing the tumor during laparoscopic partial nephrectomy (LPN). Patients and Methods: Our study included 318 patient...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0687

    authors: Yao Y,Xu Y,Gu L,Liu K,Li P,Xuan Y,Gao Y,Zhang X

    更新日期:2020-05-01 00:00:00

  • The impact of previous laparoscopic inguinal hernia repair on radical prostatectomy.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic inguinal hernia repair has become a frequently performed procedure. It is thus inevitable that some candidates for radical prostatectomy for prostatic carcinoma will have undergone such previous intervention. Mesh placement in the space of Retzius as performed in laparoscopic hernia ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1089/end.2012.0285

    authors: Haifler M,Benjamin B,Ghinea R,Avital S

    更新日期:2012-11-01 00:00:00

  • Transnephrostomic Indocyanine Green-Guided Robotic Ureteral Reimplantation for Benign Ureteroileal Strictures After Robotic Cystectomy and Intracorporeal Neobladder: Step-By-Step Surgical Technique, Perioperative and Functional Outcomes.

    abstract:: Objectives: To describe our surgical technique of robotic ureteroileal reimplantation (RUIR) for ureteroileal anastomosis strictures with the use of near-infrared fluorescence imaging (NIFI) after transnephrostomic antegrade injection of indocyanine green in patients previ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0376

    authors: Tuderti G,Brassetti A,Minisola F,Anceschi U,Ferriero M,Leonardo C,Misuraca L,Vallati G,Guaglianone S,Gallucci M,Simone G

    更新日期:2019-10-01 00:00:00

  • Variability in kidney stone incidence between black and white South Africans: AGT Pro11Leu polymorphism is not a factor.

    abstract:BACKGROUND AND PURPOSE:Kidney stone disease is rare in the South African black (B) population and more prevalent in the white (W) population. Genetic studies have not previously examined this anomaly. The AGT Pro11Leu polymorphism in the alanine:glyoxylate aminotransferase (AGT) enzyme has been suggested as possibly pl...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0617

    authors: Theka T,Rodgers AL,Webber D,O'Ryan C

    更新日期:2014-05-01 00:00:00

  • 7 to 10 years' follow-up of 573 patients with elevated prostate-specific antigen (>4 ng/mL) or/and suspected rectal examination: biopsies protocol and follow-up guides.

    abstract:PURPOSE:In this study, we tried to design a scheme for performing transrectal ultrasonographic (TRUS)-biopsies that would be accurate and include the optimal number of cores. PATIENTS AND METHODS:We included in this study 600 consecutive patients with suspicious findings on a per-rectum examination and/or an elevated ...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2008.0260

    authors: Kravchick S,Cytron S,Stepnov E,Ben-Dor D,Kravchenko Y,Peled R

    更新日期:2009-06-01 00:00:00

  • Minimally invasive surgery for female urinary incontinence: experience with periurethral microballoon implantation.

    abstract:PURPOSE:To assess the effectiveness of periurethral microballoon implantation for management of female urinary incontinence. PATIENTS AND METHODS:A total of 45 women with urinary incontinence (age range 47-88 years) were treated between May 2000 and June 2001. Microballoons were placed in the proximal periurethral tis...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2004.18.901

    authors: Mazouni C,Bladou F,Karsenty G,Giorgi R,Andre M,Serment G

    更新日期:2004-11-01 00:00:00

  • Long-term renal function and stone recurrence after percutaneous nephrolithotomy in patients with renal insufficiency.

    abstract:PURPOSE:We analyzed long-term results after percutaneous nephrolithotomy (PCNL) in patients with impaired renal function. PATIENTS AND METHODS:Nineteen (6.3%) of 300 patients who underwent PCNL had serum creatinine values above 1.4 mg/dL before surgery and were considered to have impaired renal function. Success rate ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0362

    authors: Kuzgunbay B,Gul U,Turunc T,Egilmez T,Ozkardes H,Yaycioglu O

    更新日期:2010-02-01 00:00:00

  • In Vitro Comparison of a Novel Single Probe Dual-Energy Lithotripter to Current Devices.

    abstract:PURPOSE:The LithoClast Trilogy is a novel single probe, dual-energy lithotripter with ultrasonic (US) vibration and electromagnetic impact forces. ShockPulse and LithoClast Select are existing lithotripters that also use a combination of US and mechanical impact energies. We compared the efficacy and tip motion of thes...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0143

    authors: Carlos EC,Wollin DA,Winship BB,Jiang R,Radvak D,Chew BH,Gustafson MR,Simmons WN,Zhong P,Preminger GM,Lipkin ME

    更新日期:2018-06-01 00:00:00

  • Primary SWL Is an Efficient and Cost-Effective Treatment for Lower Pole Renal Stones Between 10 and 20 mm in Size: A Large Single Center Study.

    abstract:INTRODUCTION:To assess the clinical features, outcomes, complications, and cost-effectiveness of shockwave lithotripsy (SWL), flexible ureterorenoscopy (FURS), and percutaneous nephrolithotomy (PCNL) in the treatment of lower pole (LP) stones (10-20 mm) in a large tertiary referral center. PATIENTS AND METHODS:Consecu...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2016.0825

    authors: Chan LH,Good DW,Laing K,Phipps S,Thomas BG,Keanie JY,Tolley DA,Cutress ML

    更新日期:2017-05-01 00:00:00

  • Retroperitoneoscopic nephroureterectomy for upper urinary tract cancer: a comparative study with conventional open retroperitoneal nephroureterectomy.

    abstract:PURPOSE:To compare the outcomes of retroperitoneoscopic nephroureterectomy (RNU) with those of open retroperitoneal nephroureterectomy (ORNU) for upper urinary tract cancer. PATIENTS AND METHODS:This study included 240 consecutive patients who received a clinical diagnosis of localized upper urinary tract cancer and u...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2007.0154

    authors: Terakawa T,Miyake H,Hara I,Takenaka A,Fujisawa M

    更新日期:2008-08-01 00:00:00

  • Metallic ureteral stents in malignant ureteral obstruction: clinical factors predicting stent failure.

    abstract:PURPOSE:To provide clinical outcomes of the Resonance metallic ureteral stent in patients with malignant ureteral obstruction, as well as clinical factors predicting stent failure. METHODS:Cancer patients who have received Resonance stents from July 2009 to March 2012 for ureteral obstruction were included for chart r...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0792

    authors: Chow PM,Hsu JS,Huang CY,Wang SM,Lee YJ,Huang KH,Yu HJ,Pu YS,Liang PC

    更新日期:2014-06-01 00:00:00

  • Pure retroperitoneoscopic surgery versus minimal incision-assisted retroperitoneoscopic surgery for upper urinary tract diseases.

    abstract:OBJECTIVES:We developed minimal incision-assisted retroperitoneoscopic surgery (MARP) in an attempt to pursue optimized patient-related benefits. We evaluated the clinical value of MARP for upper urinary tract diseases compared with pure retroperitoneoscopic surgery (PRPS). PATIENTS AND METHODS:Between January 2003 an...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2009.0480

    authors: Ye Z,Xi Q,Wang S,Liu J,Song X,Yu X

    更新日期:2010-06-01 00:00:00

  • Heparin coating on ureteral Double J stents prevents encrustations: an in vivo case study.

    abstract:PURPOSE:To evaluate the ability of heparin coating to inhibit Double J stent encrustation and compare it with the classic polyurethane Double J stent. PATIENTS AND METHODS:The study involved five patients with bilateral obstructions, who required bilateral ureteral Double J stent placement. Every patient received a he...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2007.0218

    authors: Cauda F,Cauda V,Fiori C,Onida B,Garrone E

    更新日期:2008-03-01 00:00:00

  • The "Body Mass Index" of Flexible Ureteroscopes.

    abstract:OBJECTIVE:To assess the "body mass index" (BMI) (weight and length) of 12 flexible ureteroscopes (digital and fiber optic) along with the light cables and camera heads, to make the best use of our instruments. MATERIALS AND METHODS:Twelve different brand-new flexible ureteroscopes from four different manufacturers, al...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2017.0438

    authors: Proietti S,Somani B,Sofer M,Pietropaolo A,Rosso M,Saitta G,Gaboardi F,Traxer O,Giusti G

    更新日期:2017-10-01 00:00:00

  • A comparison of metal telescopic dilators and Amplatz dilators for nephrostomy tract dilation in percutaneous nephrolithotomy.

    abstract:BACKGROUND AND PURPOSE:Nephrostomy tract dilation is one of the important steps in percutaneous renal surgery. We present our experiences with using Amplatz and metal telescopic dilators (Alken) to create a percutaneous tract and compare the advantages and risk factors of both procedures. PATIENTS AND METHODS:We retro...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0291

    authors: Ozok HU,Sagnak L,Senturk AB,Karakoyunlu N,Topaloglu H,Ersoy H

    更新日期:2012-06-01 00:00:00