Different interventions for preventing postoperative catheter-related bladder discomfort: a systematic review and meta-analysis

Li, Shuying; Li, Ping; Wang, Rurong; Li, Hui

doi:10.1007/s00228-021-03251-5

Cited by 10 publications

(8 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our recent systematic review evaluated the different interventions for preventing of CRBD in different surgeries. Three RCTs were included in tramadol group and found that tramadol showed a significant efficacy to prevent CRBD at 0, 1, 2, and 6 h postoperatively (Li et al 2022 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial

Liao

Xie

et al. 2023

Perioper Med

Self Cite

View full text Add to dashboard Cite

Background Catheter-related bladder discomfort (CRBD is a painful complication of intraoperative urinary catheterization after anaesthesia. We conducted this study to compare the effect of tramadol and lornoxicam for the prevention of postoperative CRBD. Methods One-hundred twenty patients (aged 18–60 years, ASA physical status 1–2, undergoing elective uterine surgery requiring intraoperative urinary catheterization were randomly divided into three groups with 40 patients in each group. Group T received 1.5 mg/kg tramadol, group L received 8-mg lornoxicam, and group C received normal saline. The study drugs were administered intravenously at the end of the surgery. The incidence and severity of CRBD were reported at 0, 1, 2, and 6 h after arrival at the postanaesthesia care unit (PACU). Results The incidence of CRBD was significantly lower in groups T and L than in group C at 1, 2, and 6 h after surgery. The incidence of moderate to severe CRBD was also significantly lower in groups T and L than in group C at 0, 1, and 2 h after surgery. The severity of CRBD reported as mild, moderate, and severe was reduced in groups T and L compared with group C at most times after surgery. Group T had a higher incidence of nausea than group C, and there were no differences in dizziness, drowsiness, or vomit among the three groups. Conclusions Tramadol and lornoxicam administered intravenously at the end of the surgery were both effective in preventing the incidence and severity of CRBD after uterine surgery. However, tramadol increased the incidence of nausea compared with saline, but there was no difference between tramadol and lornoxicam. Trial registration ChiCTR2100052003. Registered on 12/10/2021.

show abstract

Section: Discussionmentioning

confidence: 99%

“…There were no differences in dizziness, drowsiness, or vomiting. Our recent systematic review also evaluated the adverse effects of all different drugs and found that tramadol significantly increases the incidence of PONV (Li et al 2022 ). For overall consideration, lornoxicam is a better option than tramadol for the management of CRBD.…”

Section: Discussionmentioning

confidence: 99%

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial

Liao

Xie

et al. 2023

Perioper Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…There were no differences in dizziness, drowsiness, or vomiting. Our recent systematic review also evaluated the adverse efects of all different drugs, and found that tramadol signifcantly increase the incidence of PONV (Li et al 2022). For overall consideration, lornoxicam is a better option than tramadol for the management of CRBD.…”

Section: Discussionmentioning

confidence: 99%

“…Our recent systematic review evaluated the different interventions for preventing of CRBD in different surgeries. Three RCTs included in tramadol group and found that tramadol showed a signifcantly efcacy to prevent CRBD at 0, 1, 2, and 6 h postoperatively(Li et al 2022).…”

mentioning

confidence: 99%

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: A randomized controlled trial

Liao

Xie

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Background Catheter-related bladder discomfort (CRBD) is a painful complication of intraoperative urinary catheterization after anesthesia. We conducted this study to compare the effect of tramadol and lornoxicam for the prevention of postoperative CRBD. Methods One hundred twenty patients (aged 18–60 years), ASA physical status I-II, undergoing elective uterine surgery requiring intraoperative urinary catheterization were randomly divided into three groups with 40 patients in each group. Group T received 1.5 mg/kg tramadol, Group L received 8 mg lornoxicam, and Group C received normal saline. The study drugs were administered intravenously at the end of the surgery. The incidence and severity of CRBD were reported at 0, 1, 2, and 6 h after arrival at the postanesthesia care unit (PACU). Results The incidence of CRBD was significantly lower in Groups T and L than in Group C at 1, 2, and 6 h after surgery. The incidence of moderate to severe CRBD was aslo significantly lower in Groups T and L than in Group C at 0, 1, and 2 h after surgery. The severity of CRBD reported as mild, moderate, and severe was reduced in Groups T and L compared with group C at most times after surgery. Group T had a higher incidence of nausea than Group C, and there were no differences in dizziness, drowsiness, or vomit among the three groups. Conclusions Tramadol and lornoxicam administered intravenously at the end of the surgery were both effective in preventing the incidence and severity of CRBD after uterine surgery. However, tramadol increased the incidence of nausea compared with saline, but there was no difference between tramadol and lornoxicam. Trial registration: ChiCTR2100052003. Registered on 12/10/2021.

show abstract

“…Severe CRBD is usually accompanied by behavioral responses 10 which may result in removal of urinary catheter or other venous access, and hemodynamic instability. Plenty of drugs have demonstrated effectiveness in reducing BS and CRBD, including anticholinergics, 11 antiepileptic drugs, 7 and anesthetics. 12 However, systemic administration often leads to side effects, such as sedation, nausea and vomiting, and xerostomia.…”

Section: Introductionmentioning

confidence: 99%

Effect of Pudendal Nerve Block on the Prevention of Postoperative Bladder Spasm and Catheter-Related Bladder Discomfort in Male Patients Undergoing Transurethral Holmium Laser Enucleation of the Prostate

Wang¹,

Qiu²,

Shen³

2022

CIA

View full text Add to dashboard Cite

Purpose Bladder spasm (BS) and catheter-related bladder discomfort (CRBD) are complications after transurethral holmium laser enucleation of the prostate (HoLEP). The pudendal nerve (PN) innervates the perineum. Therefore, we evaluated whether PN block (PNB) can reduce the incidence of BS and CRBD in patients undergoing HoLEP. Methods In this randomized, parallel, single-blind prospective study, we enrolled 110 patients who were scheduled to undergo HoLEP under general anesthesia. Patients were randomly allocated to the PNB group (ultrasound-guided PNB at the entrance of the pudendal [Alcock’s] canal bilaterally; n = 55) or the control group (general anesthesia only; n = 55). The primary outcome was the incidence of BS and CRBD at 0.5, 1, 2, 4, 6, 12, and 24 hours postoperatively. The CRBD severity, postoperative pain, and analgesic drug use were also assessed. A P value of < 0.05 was considered statistically significant. Results A significantly lower incidence of BS (P = 0.023) and CRBD (P < 0.001) was reported within the first 24 hours postoperatively in the PNB group. The incidence of CRBD above a moderate grade at 0.5 (P < 0.001), 1 (P < 0.001), 2 (P < 0.001), and 4 (P = 0.019) hours postoperatively was significantly lower in the PNB group. Additionally, postoperative pain scores and analgesic drug use were significantly lower in the PNB group. No PNB-related complications were observed. Conclusion PNB at the entrance of the pudendal canal bilaterally resulted in a lower incidence of BS and CRBD, less postoperative pain, and less analgesic drug use in patients undergoing HoLEP without PNB-related side effects. Implication Statement Bladder spasm and catheter-related bladder discomfort can occur in older individuals undergoing transurethral holmium laser enucleation of the prostate. They often result in severe pain and prolonging the hospital stay. We performed a bilateral ultrasound-guided pudendal nerve block at the entrance of the pudendal (Alcock’s) canal and found that the block reduced bladder spasm, catheter-related bladder discomfort, postoperative pain, and use of anesthetics. Besides, pudendal nerve block also decreased the severity of catheter-related bladder discomfort and helped older individuals achieve rapid recovery.

show abstract

Different interventions for preventing postoperative catheter-related bladder discomfort: a systematic review and meta-analysis

Cited by 10 publications

References 55 publications

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: A randomized controlled trial

Effect of Pudendal Nerve Block on the Prevention of Postoperative Bladder Spasm and Catheter-Related Bladder Discomfort in Male Patients Undergoing Transurethral Holmium Laser Enucleation of the Prostate

Contact Info

Product

Resources

About