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 Endouroljournal_title
Journal of endourologyauthors
Köse O,Sağlam HS,Altun ME,Sonbahar T,Kumsar Ş,Adsan Ödoi
10.1089/end.2013.0001subject
Has Abstractpub_date
2013-07-01 00:00:00pages
892-5issue
7eissn
0892-7790issn
1557-900Xjournal_volume
27pub_type
杂志文章,随机对照试验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
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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
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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
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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
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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
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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
更新日期:1997-12-01 00:00:00
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
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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
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doi:10.1089/end.2014.0810
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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
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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
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journal_title:Journal of endourology
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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
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更新日期:1999-05-01 00:00:00
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 ...
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0019
更新日期:2014-07-01 00:00:00
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
更新日期:2014-05-01 00:00:00
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...
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更新日期:2020-05-01 00:00:00
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
更新日期:2012-11-01 00:00:00
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
更新日期:2019-10-01 00:00:00
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
更新日期:2014-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2008.0260
更新日期:2009-06-01 00:00:00
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
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更新日期:2004-11-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0362
更新日期:2010-02-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0143
更新日期:2018-06-01 00:00:00
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
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更新日期:2017-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0154
更新日期:2008-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0792
更新日期:2014-06-01 00:00:00
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
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更新日期:2010-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0218
更新日期:2008-03-01 00:00:00
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
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journal_title:Journal of endourology
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