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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)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pudendal nerve block | Experimental | USG guided pudendal nerve block performed under general anesthesia |
|
| no nerve block | No Intervention | Control group without nerve block |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pudendal nerve block | Procedure | the pudendal nerve block is going to be performed to the medial of ischial tuberosity with USG guidance in lithotomy position |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative bladder spasm | 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 12 h |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain | VAS score (0-10) | postoperative 12 h |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Derya Özkan, MD | Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic | Principal Investigator |
| Taylan Akkaya, MD | Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic | Study Director |
| Nihat Karakoyunlu, MD | Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital Urology Clinic | Study Chair |
| Julide Ergil, MD | Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. AnesthesiologyClinic | Study Chair |
| Hamit Ersoy, MD | Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 3. Urology Clinic | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic | Ankara | 06110 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |