Table of Contents
ISRN Urology
Volume 2011 (2011), Article ID 895874, 6 pages
http://dx.doi.org/10.5402/2011/895874
Clinical Study

Spinal versus General Anaesthesia in Postoperative Pain Management during Transurethral Procedures

1Department of Urology, Athens University Medical School, LAIKO Hospital, Athens 11527, Greece
2Department of Anesthesiology, LAIKO Hospital, Athens 11527, Greece
3Department of Urology, 251 Airforce General Hospital, Athens 11527, Greece

Received 12 April 2011; Accepted 9 May 2011

Academic Editors: R. J. Karnes and K. H. Tsui

Copyright © 2011 Stavros I. Tyritzis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We compared the analgesic efficacy of spinal and general anaesthesia following transurethral procedures. 97 and 47 patients underwent transurethral bladder tumour resection (TUR-B) and transurethral prostatectomy (TUR-P), respectively. Postoperative pain was recorded using an 11-point visual analogue scale (VAS). VAS score was greatest at discharge from recovery room for general anaesthesia ( 𝑃 = 0 . 0 2 7 ). The pattern changed significantly at 8 h and 12 h for general anaesthesia's efficacy ( 𝑃 = 0 . 0 1 7 and 𝑃 = 0 . 0 0 7 , resp.). A higher VAS score was observed in pT2 patients. Patients with resected tumour volume >10  c m 3 exhibited a VAS score >3 at 8 h and 24 h ( 𝑃 = 0 . 0 5 0 , 𝑃 = 0 . 0 3 6 , resp.). Multifocality of bladder tumours induced more pain overall. It seems that spinal anaesthesia is more effective during the first 2 postoperative hours, while general prevails at later stages and at larger traumatic surfaces. Finally, we incidentally found that tumour stage plays a significant role in postoperative pain, a point that requires further verification.