British journal of urology
-
Randomized Controlled Trial Clinical Trial
Expired breath ethanol measurement to calculate irrigating fluid absorption during transurethral resection of the prostate: experience in a district general hospital.
To estimate differences in the absorption of ethanol-tagged irrigant fluid in patients undergoing transurethral resection of the prostate (TURP) using measurements of ethanol concentration in the breath. ⋯ Irrigant absorption occurs frequently during TURP and is more likely to occur in operations performed by trainee urologists.
-
Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of intramuscular ketorolac and pethidine in the alleviation of renal colic.
To compare the analgesic efficacy of a single 30 mg intramuscular dose of ketorolac with that of intramuscular pethidine 100 mg, in a double-blind, parallel-group investigation of patients presenting with pain suggestive of renal colic. ⋯ Ketorolac can be considered a viable alternative to pethidine for the treatment of renal colic.
-
Randomized Controlled Trial Clinical Trial
Choosing the correct pain relief for extracorporeal lithotripsy.
To determine the best choice of analgesic for patients undergoing lithotripsy, and to attempt to identify factors which might predict which patients are most likely to find the procedure painful. ⋯ This study shows that modern lithotripsy, in addition to being safe and effective, can be performed as an out-patient procedure using simple non-opiate analgesics. The need for stronger analgesia and/or sedation should be tailored to the needs of the individual patient, although it remains difficult to predict which patients will require such measures.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Treatment of renal colic by prostaglandin synthetase inhibitors and avafortan (analgesic antispasmodic).
In a study of the pain-relieving effect of 3 drugs commonly used to treat acute renal colic in this hospital, intravenous indomethacin and intramuscular diclofenac (prostaglandin synthetase inhibitors) were compared with intravenous Avafortan (analgesic antispasmodic). As first-line analgesics, prostaglandin synthetase inhibitors, if given intravenously, offer an effective alternative to Avafortan. Of 145 patients studied, 32 required a second injection for complete relief of pain. Administering a second dose of prostaglandin synthetase inhibitors resulted in equally significant pain relief rate even though the route was intramuscular.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Transurethral prostatotomy versus transurethral prostatectomy in benign prostatic hypertrophy. A prospective randomised study.
Transurethral prostatotomy (TUT) in 24 patients was compared with transurethral prostatectomy (TUR) in 25 patients in a prospective randomised trial. All patients were aged 60 years or more and presented with symptomatic benign hypertrophy. One half of the patients had acute retention. ⋯ One patient became incontinent after TUR and 4 developed a stricture. The success rate after TUR was 78%. It was concluded that TUT and TUR produce similar functional results in cases where the gland is not too large.