Clinical evaluation of FasTENS, an inexpensive, disposable transcutaneous electrical nerve stimulator designed specifically for postoperative electroanalgesia.
Previous studies have shown that electroanalgesia is an effective method of reducing postoperative pain in patients who have urologic surgery. All prior studies of postperative transcutaneous electrical nerve stimulation (TENS) have employed TENS stimulators which were designed for the control of chronic pain. Disadvantages to the use of standard TENS stimulators in postoperative patients include the high cost of the devices and their operative complexity which make it difficult for staff and patients to use them. FasTENS is a lightweight, relatively inexpensive disposable TENS stimulator which has been designed specifically for use in postoperative patients. We evaluated the effectiveness of FasTENS in patients who had implantation of an inflatable penile prosthesis, radical retropubic prostatectomy, or radical nephrectomy. Patients treated with FasTENS used 60 percent less pain medication (P less than 0.001) and made 61 percent fewer requests for Demerol injections (P less than 0.001) than did control patients who were not treated with postoperative electroanalgesia. FasTENS was most effective in patients who had radical prostatectomy or penile prosthetic surgery. FasTENS was not cost-effective or practical in patients who had radical nephrectomy.
Merrill
D C
DC
University of California, Davis.
D000082:Acetaminophen / Q000627:therapeutic use; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D004209:Disposable Equipment / Q000191:economics; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D005069:Evaluation Studies as Topic; D006801:Humans; D008297:Male; D008614:Meperidine / Q000627:therapeutic use; D009392:Nephrectomy / Q000009:adverse effects; D010149:Postoperative Pain / Q000517:prevention & control*; D010413:Penis / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects; D019736:Prostheses and Implants; D004561:Transcutaneous Electric Nerve Stimulation / Q000191:economics / Q000295:instrumentation*
D000082:Acetaminophen; D008614:Meperidine