Objective: In this study we investigated the effects of preoperative storage symptoms on post Transurethral Resection of the Prostate (TUR-P) pain.
Materıal and Methods: The patients un-dergoing TUR- P between October 2012 and February 2013 were grouped into two based on the severity of the symptoms they described in the 2nd, 4th and 7th questions of International Prostate Symptom Score (IPSS). Group 1 pa-tients were those who scored 3 and more and Group 2 patients were those who scored less than 3. Thirty patients were allocated to each of the groups. The total IPSS and storage IPSS syptoms of the patients were recorded separa-tely. At postoperative follow up when the effect of spinal anesthesia wore off each patient recei-ved parenteral injection of 75 mg of Diclofenac sodium. Four hours after the analgesic admi-nistration, catheter related discomfort (supra-pubic pain, urgency, etc) and general pain were evaluated with the use of Visual Analog Scale (VAS) scoring.
Results: There were no excluded patients in both groups. There were no statistically significant differences between groups in terms of age, PSA, prostate volume, maximum flow rate, residual urine volume, duration of the operation and volume of resected prostate. The catheter related bother and total VAS scores of the patients in the group of predo-minant storage symptoms were found to be higher compared to the other group.
Conclusıon: Adapting the administration of analgesic therapy in the postoperative period after TUR-P according to the dominan-ce of storage symptoms may provide a better analgesia.
Key Words: TUR-P, analgesia, storage symptoms
Abstract
Objective: In this study we investigated the effects of preoperative storage symptoms on post Transurethral Resection of the Prostate (TUR-P) pain.
Materıal and Methods: The patients un-dergoing TUR- P between October 2012 and February 2013 were grouped into two based on the severity of the symptoms they described in the 2nd, 4th and 7th questions of International Prostate Symptom Score (IPSS). Group 1 pa-tients were those who scored 3 and more and Group 2 patients were those who scored less than 3. Thirty patients were allocated to each of the groups. The total IPSS and storage IPSS syptoms of the patients were recorded separa-tely. At postoperative follow up when the effect of spinal anesthesia wore off each patient recei-ved parenteral injection of 75 mg of Diclofenac sodium. Four hours after the analgesic admi-nistration, catheter related discomfort (supra-pubic pain, urgency, etc) and general pain were evaluated with the use of Visual Analog Scale (VAS) scoring.
Results: There were no excluded patients in both groups. There were no statistically significant differences between groups in terms of age, PSA, prostate volume, maximum flow rate, residual urine volume, duration of the operation and volume of resected prostate. The catheter related bother and total VAS scores of the patients in the group of predo-minant storage symptoms were found to be higher compared to the other group.
Conclusıon: Adapting the administration of analgesic therapy in the postoperative period after TUR-P according to the dominan-ce of storage symptoms may provide a better analgesia.
Key Words: TUR-P, analgesia, storage symptoms