Unique ID issued by UMIN | UMIN000041625 |
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Receipt number | R000047498 |
Scientific Title | A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate |
Date of disclosure of the study information | 2020/09/01 |
Last modified on | 2021/08/31 11:11:41 |
A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate
A Prospective Observational Study of Effective Epidural Insertion Site for CRBD after TURP
A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate
A Prospective Observational Study of Effective Epidural Insertion Site for CRBD after TURP
Japan |
benign prostatic hyperplasia
Urology |
Others
NO
Benign prostatic hyperplasia causes frequent urination and straining to void in the elderly and reducing the quality of life (QOL). Transurethral resection of the prostate (TURP) is the common treatment for benign prostatic hyperplasia. The indwelling urinary catheter is placed for bleeding monitoring and preventing urinary retention after TURP. However, the catheter-related bladder discomfort (CRBD) is develops at a high rate postoperatively, and it contributes to lower postoperative satisfaction. To prevent CRBD, we use patient-controlled analgesia (PCA) with epidural catheter at the time of TURP. However, the most effective epidural puncture site for CRBD after TURP has not yet been investigated. In the present study, we seek to investigate the effective epidural insertion site (Th12/L1 versus sacral fissure) for catheter-related bladder discomfort after TURP at our institution.
Efficacy
severity of postoperative CRBD
Observational
50 | years-old | <= |
90 | years-old | > |
Male
Patients who meet all of the following
1, Patients undergoing TURP under general anesthesia from September 1, 2020 to August 31, 2022
2, ASA physical status class 1-3
3, Patients using patient controlled epidural analgesia in postoperative period
4, Patients between the ages of 50 and less than 90
5, Patients who can obtain written consent to participate in this study
Patients who have any of the following
1, Patients with heart failure of NYHA 3 or greater
2, Patients with respiratory failure of Hugh-Jones 3 or greate
3, Patients with mental illness
4, Patients with chronic pain
30
1st name | Tadahiko |
Middle name | |
Last name | Ishiyama |
University of Yamanashi Hospital
Surgical center
409-3898
1110 Shimokato, Chuo-shi, Yamanashi
055-273-9690
ishiyama@yamanashi.ac.jp
1st name | Takuya |
Middle name | |
Last name | Akiyama |
Faculty of Medicine, University of Yamanashi
Department of Anesthesiology
409-3898
1110 Shimokato, Chuo-shi, Yamanashi
055-273-9690
akiyamata@yamanashi.ac.jp
University of Yamanashi
Self funding
Self funding
Ethics Committee of Faculty of Medicine, University of Yamanashi
1110 Shimokato, Chuo-shi, Yamanashi
055-273-9065
rec-med@yamanashi.ac.jp
NO
2020 | Year | 09 | Month | 01 | Day |
Unpublished
Enrolling by invitation
2020 | Year | 08 | Month | 26 | Day |
2020 | Year | 08 | Month | 26 | Day |
2020 | Year | 09 | Month | 01 | Day |
2022 | Year | 08 | Month | 31 | Day |
The severity of CRBD will be classified into four levels: 0 (none), 1 (mild), 2 (moderate), and 3 (severe) at 6, 12, and 24 hours after surgery in the two groups where epidural catheterization was performed at Th12/L1 and at the sacral fissure.
2020 | Year | 08 | Month | 31 | Day |
2021 | Year | 08 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047498
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