The effectiveness of epidural analgesia in patients with benign prostatic hyperplasia after transvesical prostatectomy

Authors

  • A.S. Suslov Odessa National Medical University, Odesa, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.4.2020.207939

Keywords:

benign prostatic hyperplasia, surgery, transvesical prostatectomy, analgesia, epidural analgesia

Abstract

Background. The purpose of this study was to analyze the effectiveness of epidural analgesia in the postoperative period in patients who underwent open transvesical radical prostatectomy for benign prostate hyperplasia in the Odessa Regional Clinical Hospital from September 2013 to September 2018. Materials and methods. An extensive database of all patients undergoing transvesical radical prostatectomy for benign prostate hyperplasia from September 2013 to September 2018 was retrospectively analyzed. One hundred and seventy-seven patients underwent transvesical radical prostatectomy in the Odessa Regional Clinical Hospital during this period and were divided into those who received or did not receive epidural analgesia in the postoperative period. Data on the efficiency of postoperative analgesia was evaluated retrospectively from complaints, the need to supplement the technique with the administration of opioids. Complications were recorded within up to 30 days of inpatient and outpatient treatment using a modified Clavien system. Statistical processing of the obtained data was carried out by means of MATLAB software. Results. An analysis of the medical records of 177 men indicates a trend towards an increase in the frequency of using epidural analgesia for pain management, along with a decrease in the average hospital stay. When dividing the data on those with and without epidural analgesia, it was found that the average hospital stay was 6 days for patients receiving epidural postoperative analgesia, compared with 7 days for those who did not receive epidural analgesia in the postoperative period. The differences were statistically significant (p < 0.038) and remained so after adjusting for complications (p < 0.0001). Conclusions. According to the study, epidural analgesia in patients undergoing transvesical radical prostatectomy for benign prostate hyperplasia reduced the length of hospital stay. Based on the results, epidural analgesia can probably be recommended for men in the postoperative period with a given volume of surgical intervention and this pathology. However, as minimally invasive methods are becoming more common, and the use of epidural techniques remains a debatable issue among our colleagues around the world, large randomized trials in Ukraine are necessary for a detailed study of this problem.

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References

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Published

2021-09-30

How to Cite

Suslov, A. (2021). The effectiveness of epidural analgesia in patients with benign prostatic hyperplasia after transvesical prostatectomy. EMERGENCY MEDICINE, 16(4), 110–114. https://doi.org/10.22141/2224-0586.16.4.2020.207939

Issue

Section

Original Researches