Facteurs prédictifs de l’inconfort lié à la sonde vésicale

Moataz, Amine; Chadli, A.; Wichou, E.; Gallouo, M.; Jandou, Issam; Saber, Sara; Serhier, Z.; Dakir, Mohamed; Debbagh, Adil; Aboutaieb, Rachid

doi:10.1016/j.purol.2020.09.014

Cited by 7 publications

(2 citation statements)

References 12 publications

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“…TURP patients are placed with catheters in the early postoperative period because of the need for continuous bladder irrigation. However, due to surgical trauma, catheterization and other irritations, patients have a high incidence of CRBD, which resembles overactive bladder symptoms, such as urinary frequency and urgency, and difficult urination in addition to suprapubic pain [6] . This discomfort can cause agitation in post-surgical patients during recovery from anesthesia, which in turn increases the risk of postoperative bleeding, drainage tube slippage and adverse cardiovascular events [2] , decreases hospital satisfaction, prolongs discharge time and is detrimental to patient prognosis.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Sacral Plexus Block Combined with Dexmedetomidine for Prevention of Catheter-Related Bladder Discomfort in Patients with TURP

Gao¹,

Zhao²,

Zhang³

2023

IJPS

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Gao et al.: Efficacy of Sacral Plexus Block Combined with Dexmedetomidine in TURP Patients This work focused on investigating therapeutic efficacy of sacral plexus block combined with dexmedetomidine in preventing catheter-related bladder discomfort in patients receiving transurethral resection of the prostate. Sixty patients undergoing elective prostatectomy were randomized as group D or group M (n=30 each). Both groups were given dexmedetomidine 0.5 μg/kg 10 min before induction of general anesthesia. The severity score of catheter-related bladder discomfort, Richmond agitation sedation scale, visual analog scale score and adverse events at 30 min (T1), 2 h (T2) and 6 h (T3) postoperatively were recorded. 1 d preoperatively, as well as 1 and 3 d postoperatively, the neuropsychiatric function of patients was tested by mini-mental state examination and the incidence of postoperative cognitive dysfunction was observed. Compared with group D, group M had significantly decreased catheter-related bladder discomfort incidence at T1 and T2 (p<0.05), but with the passage of time, difference in the incidence of catheter-related bladder discomfort of both groups at T3 was of no statistical significance (p>0.05). Compared with group D, the visual analog scale scores of group M at T1, T2 and T3 remarkably decreased (p<0.05). Relative to group D, group M had remarkably reduced agitation scores at T1, T2 and T3 (p<0.05). Differences in the side effects rate and postoperative cognitive dysfunction incidence were not significantly different between both groups (p>0.05). Sacral plexus block combined with dexmedetomidine decreases postoperative catheter-related bladder discomfort rate among transurethral resection of the prostate patients and has good comfort and safety.

show abstract

Section: Resultsmentioning

confidence: 99%

Efficacy of Sacral Plexus Block Combined with Dexmedetomidine for Prevention of Catheter-Related Bladder Discomfort in Patients with TURP

Gao¹,

Zhao²,

Zhang³

2023

IJPS

View full text Add to dashboard Cite

show abstract

“…In this study, patients undergoing TURP were selected as the research subjects based on the following considerations: (I) males have a long urethra that contains three strictures and two curvatures, and urethral sphincter contraction may be more likely to cause CRBD after the Foley catheter stimulates the urethral mucosa. (II) Male gender and postoperative indwelling urinary catheter size (>18 Fr) are two independent predictors of CRBD symptoms ( 23 ). (III) A concavity is formed locally after prostatectomy; in some patients, the Foley catheter water sac will move into the prostate concavity and stimulate the prostate wound, and the Foley catheter will stimulate the urethral mucosa.…”

Section: Discussionmentioning

confidence: 99%