Osman KÖSE, Şükrü KUMSAR, Tolga ERGÖNENÇ, Salih BUDAK, Hüseyin AYDEMİR, Öztuğ ADSAN

Depolama semptomlarının transüretral prostat rezeksiyonu sonrasında erken postopratif ağrıya etkisi

Amaç: Bu çalışmada, TUR-P sonrasında gelişen ağrı üzerine, depolama semptomlarının etkisi araştırıldı. Gereç ve Yöntemler: Ekim 2012-Şubat 2013 tarihleri arasında TUR-P yapılmasına karar verilen hastalar IPSS’lamasında International Prostate Symptom Score 2, 4, ve 7. sorulara verdiği yanıta göre 2 gruba ayrıldı. Grup 1’e 3 ve daha üzerini işaretleyen hastalar, grup 2’ye 3’ün aşağısını işaretleyen hastalar dahil edildi. Her iki gruba toplam 30 hasta alındı. Hastaların total IPSS ve depolama IPSS skorları ayrı ayrı kayıt edildi. Her iki gruba spinal analjezi etkisi ortadan kalktıktan sonra, Diklofenak Na 75 mg paranteral yapıldı. Analjezik yapıldıktan 4 saat sonra, her iki grupta kateter ilişkili rahatsızlık ve genel ağrı, VAS Visual Analog Scale skorlaması kullanılarak değerlendirildi. Bulgular: Her iki grupta da çalışma dışı bırakılan hasta olmadı. Her iki hasta grubunun yaş, PSA, prostat hacmi, maksimum idrar akım hızı, rezidüel idrar hacmi, operasyon süresi ve rezeke edilen prostat doku hacmi arasında istatistiksel fark saptanmadı. Depolama semptomları ön planda olan hastaların kateter ilişkili mesane rahatsızlık VAS skorlarının ve total VAS skorlarının diğer gruptan yüksek olduğu görüldü. Sonuç: TUR-P sonrasında postoperatif dönemde analjezik tedavi yapılırken, depolama semptomlarının yoğunluğunun gözönünde bulundurulması faydalı olabilir

Anahtar Kelimeler:

TURP, analjezi, depolama semptomları

The effect of storage symptoms on early postoperative pain after transurethral resection of the prostate. Do the storage symptoms persist after transurethral resection of the prostate?

effects of preoperative storage symptoms on post Transurethral Resection of the Prostate TUR-P pain. Materıal and Methods: The patients undergoing TUR- P between October 2012 and February 2013 were grouped into two based on the severity of the symptoms they described in the 2nd, 4th and 7th questions of International Prostate Symptom Score IPSS . Group 1 patients were those who scored 3 and more and Group 2 patients were those who scored less than 3. Thirty patients were allocated to each of the groups. The total IPSS and storage IPSS syptoms of the patients were recorded separately. At postoperative follow up when the effect of spinal anesthesia wore off each patient received parenteral injection of 75 mg of Diclofenac sodium. Four hours after the analgesic administration, catheter related discomfort suprapubic pain, urgency, etc and general pain were evaluated with the use of Visual Analog Scale VAS scoring. Results: There were no excluded patients in both groups. There were no statistically significant differences between groups in terms of age, PSA, prostate volume, maximum flow rate, residual urine volume, duration of the operation and volume of resected prostate. The catheter related bother and total VAS scores of the patients in the group of predominant storage symptoms were found to be higher compared to the other group. Conclusıon: Adapting the administration of analgesic therapy in the postoperative period after TUR-P according to the dominance of storage symptoms may provide a better analgesia.

Keywords:

TUR-P, analgesia, storage symptoms,

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