Urologia internationalis
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Urologia internationalis · Jan 2003
Randomized Controlled Trial Clinical TrialPeriprostatic nerve blockade before transrectal ultrasound-guided prostate biopsy: the Ankara Numune experience.
To assess the efficacy and morbidity of periprostatic local anesthesia before transrectal ultrasound-guided biopsy of the prostate. ⋯ Periprostatic local anesthesia before prostate biopsy is a safe and easy method to increase patient comfort during the procedure.
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Urologia internationalis · Jan 2003
Randomized Controlled Trial Clinical TrialPatient-controlled epidural analgesia after major urologic surgeries. A comparison of tramadol with or without bupivacaine.
The efficiency and safety of patient-controlled epidural analgesia by using tramadol alone and combined with bupivacaine were investigated for postoperative pain treatment after major urological surgeries. For PCEA: in group I (n = 17) a loading dose of 20 mg tramadol with a continuous infusion of 1 mg/ml tramadol at a rate of 8 ml/h was given. In group II (n = 17), patients received an initial loading dose of 20 ml bupivacaine 0.125% and a supplemental continuous infusion of 8 ml/h. ⋯ However VAS values were significantly lower in group III than in groups I and II at every measurement (p < 0.05). The incidence of side effects in all three groups was low (p > 0.05). In conclusion, we suggested that a combination of tramadol with bupivacaine can provide the most effective and safe postoperative analgesia with minimal risk for side effects.