Ultrasound Guided Pudendal Block in Transurethral Prostatectomies

Ultrasound Guided Pudendal Block in Transurethral Prostatectomies

The pudendal nerve conveys sensory, motor, sympathetic fibres to the perineum, bladder neck and proximal urethra. Pain management during transurethral procedures is a major concern.Patients who have been catheterized under anesthesia complained of urgency in the postoperative period because of catheter-related bladder irritation. We want to investigate that the effect of pudendal block to postoperative pain, bladder spasm and patient comfort in transurethral prostatectomies

Outcome measures USG guided transperineal pudendal block success Postoperative pain score (VAS score) Postoperative bladder spasm (Severity of bladder discomfort will record as severe(behavioral responses such as strong vocal response, flailing limbs),moderate (not accompanied by any behavioral responses) and no bladder discomfort.

Postoperative patient's comfort (poor, sufficient, good)

Inclusion Criteria:

• ASA I,II,III status
• Who were scheduled to have elective transurethral resection of the prostate

Exclusion Criteria:

• Chronic renal failure
• coagulopathy
• active anorectal disease
• active urinary tract infection
• uncontrolled diabetes