Ultrasound Guided Pudendal Block in Transurethral Prostatectomies

Study Overview
=================
Brief Summary
-----------------
The pudendal nerve conveys sensory, motor, sympathetic fibres to the perineum, bladder neck and proximal urethra. Pain management during transurethral procedures is a major concern.Patients who have been catheterized under anesthesia complained of urgency in the postoperative period because of catheter-related bladder irritation. We want to investigate that the effect of pudendal block to postoperative pain, bladder spasm and patient comfort in transurethral prostatectomies

Detailed Description
-----------------
Outcome measures USG guided transperineal pudendal block success Postoperative pain score (VAS score) Postoperative bladder spasm (Severity of bladder discomfort will record as severe(behavioral responses such as strong vocal response, flailing limbs),moderate (not accompanied by any behavioral responses) and no bladder discomfort. Postoperative patient's comfort (poor, sufficient, good)

Official Title
-----------------
Ultrasound Guided Pudendal Block in Transurethral Prostatectomies

Conditions
-----------------
Pain, Postoperative

Intervention / Treatment
-----------------
* Procedure: Pudendal nerve block


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: ASA I,II,III status Who were scheduled to have elective transurethral resection of the prostate Exclusion Criteria: Chronic renal failure coagulopathy active anorectal disease active urinary tract infection uncontrolled diabetes

Ages Eligible for Study
-----------------
Minimum Age: 50 Years
Maximum Age: 80 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pudendal nerve block<br>USG guided pudendal nerve block performed under general anesthesia | Procedure: Pudendal nerve block<br>* the pudendal nerve block is going to be performed to the medial of ischial tuberosity with USG guidance in lithotomy position<br>|
| No Intervention: no nerve block<br>Control group without nerve block | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative bladder spasm | Postoperative bladder spasm (Severity of bladder discomfort will record as severe(behavioral responses such as strong vocal response, flailing limbs),moderate (not accompanied by any behavioral responses) and no bladder discomfort. | postoperative 12 h | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative pain | VAS score (0-10) | postoperative 12 h | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
pudendal nerve block, postoperative pain, bladder spasm